Individual provider Active NPI

Byron Lee Novosad, DDS

  • Periodontics
  • Sugar Land, TX
National Provider Identifier
1881912582
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
12375 Issued in TX
Practice address
14019 Southwest Fwy Ste 301
Suite 181
Sugar Land, TX 77478-3551
Phone
(281) 541-2325
NPI assigned
May 6, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 12375 TX Primary

Addresses

Primary practice location

14019 Southwest Fwy Ste 301
Suite 181
Sugar Land, TX 77478-3551

Mailing address

14019 Southwest Fwy Ste 301
Suite 181
Sugar Land, TX 77478-3551
Phone (281) 541-2325

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

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273104000000",
    "number": "1881912582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14019 SOUTHWEST FWY STE 301",
            "address_2": "SUITE 181",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783551",
            "telephone_number": "281-541-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14019 SOUTHWEST FWY STE 301",
            "address_2": "SUITE 181",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783551",
            "telephone_number": "281-541-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOSAD",
        "first_name": "BYRON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "12375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.