Active NPI
Dennis M Byrne, D.M.D, M.S.
- Endodontics
- Worcester, MA
National Provider Identifier
1720090087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 14743
- Practice address
- 67 Highland St
Worcester, MA 01609-2734 - Phone
- (508) 791-5529
- Fax
- (508) 791-4546
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 14743 | MA | Primary |
Addresses
Primary practice location
67 Highland St
Worcester, MA 01609-2734
Mailing address
15 Blanchard Rd
Harvard, MA 01451-1120
Phone (978) 772-7441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120130000853 | MA | Order and Referring Only - Oral Surgery | 0446417638 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14743 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Manzoli and Russo, PC | Endodontics | 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.
-
- Endodontics
- Worcester, MA
- NPI 1457393951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720090087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 BLANCHARD RD",
"city": "HARVARD",
"state": "MA",
"postal_code": "014511120",
"telephone_number": "978-772-7441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 HIGHLAND ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016092734",
"telephone_number": "508-791-5529",
"fax_number": "508-791-4546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRNE",
"first_name": "DENNIS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.M.D, M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MA",
"license": "14743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.