Active NPI
Matthew Ryan Byarlay, D.D.S., M.S.
- Periodontics
- Lincoln, NE
National Provider Identifier
1780765917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 6350
- Practice address
- 40TH and Holdrege
Lincoln, NE 68583 - Phone
- (402) 472-8900
- NPI assigned
- Oct 17, 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 6350 | NE | Primary |
Addresses
Primary practice location
40TH and Holdrege
Lincoln, NE 68583
Mailing address
15067 Meredith Ave
Omaha, NE 68116-1459
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7875 | Other | NE | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6350 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201219200000",
"number": "1780765917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15067 MEREDITH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681161459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40TH AND HOLDREGE",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68583",
"telephone_number": "402-472-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYARLAY",
"first_name": "MATTHEW",
"middle_name": "RYAN",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2008-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NE",
"license": "6350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "7875",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.