Terry Robert Bryant, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009531 Issued in IN

Practice address

3820 E Bristol St
Elkhart, IN 46514-4383

Phone

(574) 264-4161

Fax

(574) 266-8198

NPI assigned

Jan 13, 2009

Last updated

Jan 13, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Comprehensive Dental Care PC

  • General Practice Dentistry
  • Elkhart, IN
  • NPI 1508077595
  NPD (past) Authorized official

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1912144908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 E BRISTOL ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465144383",
            "telephone_number": "574-264-4161",
            "fax_number": "574-266-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 E BRISTOL ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465144383",
            "telephone_number": "574-264-4161",
            "fax_number": "574-266-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "TERRY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skyler Browning, RBT
• Margaret A Brummer, MD
• Nicole S Brunette, MD
• Ashley Marie Brunt, NURSE PRA
• Norman E Bryan, DDS
• Michaela Buchanan
• William P Buckley, M.D.
• Chase Buehler
• Affie Ann Bullock
• Tammika Burks

• General Practice Dentistry in Elkhart, IN
• Providers in Elkhart, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.

Verify at the official NPI Registry.