NPIMap

Organization Active NPI

Byron C Desbordes, DDS, PC

  • Customized Equipment (DME)
  • Baltimore, MD
National Provider Identifier
1972987287
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
BYRON C DESBORDES, DDS, PC
Practice address
3120 Lord Baltimore Dr
Ste 100
Baltimore, MD 21244-2663
Phone
(410) 277-0138
Fax
(410) 277-0139
NPI assigned
Jul 16, 2015
Last updated
Jul 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Dr. Byron C Desbordes, DDSNPI 1063458099
Title
Owner
Phone
(410) 277-0138

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

3120 Lord Baltimore Dr
Ste 100
Baltimore, MD 21244-2663

Mailing address

3120 Lord Baltimore Dr
Ste 100
Baltimore, MD 21244-2663
Phone (410) 277-0138

National Provider Directory

National Provider Directory

Locations

3120 Lord Baltimore Dr
Ste 100
Windsor Mill, MD 21244
Phone (410) 277-0138

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1972987287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 LORD BALTIMORE DR",
            "address_2": "STE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442663",
            "telephone_number": "410-277-0138",
            "fax_number": "410-277-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 LORD BALTIMORE DR",
            "address_2": "STE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442663",
            "telephone_number": "410-277-0138",
            "fax_number": "410-277-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYRON C DESBORDES, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "DESBORDES",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-277-0138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.