Individual provider Active NPI

Henry Stephenson Byrd, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Dallas, TX
National Provider Identifier
1891769287
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
D9379 Issued in TX
Practice address
9101 N Central Expy
#600
Dallas, TX 75231-5927
Phone
(469) 375-3838
Fax
(469) 375-3840
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X D9379 TX Primary

Addresses

Primary practice location

9101 N Central Expy
#600
Dallas, TX 75231-5927

Mailing address

6757 Arapaho Rd
Suite 725
Dallas, TX 75248-4005
Phone (469) 375-3838

Other identifiers 1

IdentifierTypeStateIssuer
135536409MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070625000360 TX Practitioner - Plastic and Reconstructive Surgery 1355230152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D9379TXMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ricardo Meade MD PA Current Accepting new patients
Earwell Centers of Texas Past Accepting new patients
Richard Ha MD PA Plastic and Reconstructive Surgery PastSince Apr 30, 2003 Accepting new patients
Earwell Centers of Excellence, PLLC Past Accepting new patients

Locations

7777 Forest Ln
Ste C528
Dallas, TX 75230
Phone (972) 331-1900

9101 N Central Expy
Ste 600
Dallas, TX 75231
Phone (214) 370-4813

411 N Washington Ave
Ste 6000
Dallas, TX 75246
Phone (214) 821-5266

Organizations & group practices 4

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1891769287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6757 ARAPAHO RD",
            "address_2": "SUITE 725",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484005",
            "telephone_number": "469-375-3838",
            "fax_number": "469-375-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 N CENTRAL EXPY",
            "address_2": "#600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315927",
            "telephone_number": "469-375-3838",
            "fax_number": "469-375-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "HENRY",
        "middle_name": "STEPHENSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "D9379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135536409",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.