Organization Active NPI

North Baldwin Dentistry & Facial Aesthetics, PLLC

  • General Practice Dentistry
  • Bay Minette, AL
National Provider Identifier
1699498451
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NORTH BALDWIN DENTISTRY & FACIAL AESTHETICS, PLLC
Practice address
1901 Hand Ave
Bay Minette, AL 36507-4112
Phone
(251) 937-9501
Fax
(251) 937-9869
NPI assigned
Sep 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Timothy N Byrd, DMD
Title
Owner
Phone
(404) 852-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1901 Hand Ave
Bay Minette, AL 36507-4112

Mailing address

1901 Hand Ave
Bay Minette, AL 36507-4112
Phone (251) 937-9501

Other identifiers 2

IdentifierTypeStateIssuer
1619017845OtherALDENTIST
1861532012OtherALDENTISTRY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tallen@byrddentalgroup.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1901 Hand Ave
Bay Minette, AL 36507
Phone (251) 937-9501

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1699498451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 HAND AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074112",
            "telephone_number": "251-937-9501",
            "fax_number": "251-937-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 HAND AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074112",
            "telephone_number": "251-937-9501",
            "fax_number": "251-937-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BALDWIN DENTISTRY & FACIAL AESTHETICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-852-6500",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1619017845",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTISTRY",
            "identifier": "1861532012",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tallen@byrddentalgroup.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1901 Hand Ave",
            "city": "Bay Minette",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365074112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bay Minette, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.