Individual provider Active NPI

Gerard Byrne, DDS MSD

  • Prosthodontics
  • Lincoln, NE
National Provider Identifier
1710081716
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
114 Issued in NE
Practice address
40TH and Holdrege Streets
University of Nebraska Medical Center, College of Denti
Lincoln, NE 68583-0740
Phone
(402) 472-1631
NPI assigned
Sep 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 40084 IA
Prosthodontics 1223P0700X 114 NE Primary

Addresses

Primary practice location

40TH and Holdrege Streets
University of Nebraska Medical Center, College of Denti
Lincoln, NE 68583-0740

Mailing address

40TH and Holdrege Streets
Pobox 830740
Lincoln, NE 68583-0740
Phone (402) 472-1631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160506001036 NE Order and Referring Only - DentistPractitioner - Dentist 9830498229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114NEMDMental Health Counselor
40084IAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
University Dental Associates Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1710081716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40TH AND HOLDREGE STREETS",
            "address_2": "POBOX 830740",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685830740",
            "telephone_number": "402-472-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40TH AND HOLDREGE STREETS",
            "address_2": "UNIVERSITY OF NEBRASKA MEDICAL CENTER, COLLEGE OF DENTI",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685830740",
            "telephone_number": "402-472-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNE",
        "first_name": "GERARD",
        "name_prefix": "Mr.",
        "credential": "DDS MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "IA",
            "license": "40084",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NE",
            "license": "114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.