Andrew Michael Byrne, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2022018783 Issued in MO

Practice address

2209 Oak Ridge Dr
Neosho, MO 64850-9092

Phone

(417) 451-0977

NPI assigned

Mar 25, 2022

Last updated

Jul 17, 2022By 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 MO

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

Locations

Interoperability endpoints

• Direct secure messaging: andrew.byrne@othcdafc.eclinicaldirectplus.com

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.

• Northside Family Dentistry, LLC

  • Dental Clinic/Center
  • Joplin, MO
  • NPI 1649136003
  NPD Authorized official
• Ozark Tri-County Health Care Consortium

  dba ACCESS Family Care

  • Federally Qualified Health Center (FQHC)
  • Neosho, MO
  • NPI 1013368984

  General Practice

  NPD
• Ozark Tri-County Health Care Consortium

  dba Access Family Care

  • Federally Qualified Health Center (FQHC)
  • Joplin, MO
  • NPI 1649837444
  NPD (past)

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658016000000",
    "number": "1982354734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N SAINT CLAIR CT",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648014115",
            "telephone_number": "417-758-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 OAK RIDGE DR",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648509092",
            "telephone_number": "417-451-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNE",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-07-17",
        "certification_date": "2022-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2022018783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Megan Broadbent, DO
• Laken Nicole Brock, PHARMD
• Teddy Brown, LCSW
• Amelia Bruner, COTA
• William Douglas Burch, D.D.S.
• Kira Lynn Carnahan, COTA
• Matthew Casey
• Michelle Dawn Chapman, PHARMD
• Shanna D. Chapman, FNP, DNP
• Chiropractic Health Center LLC (Chirpractic Health Center LC)

• General Practice Dentistry in Neosho, MO
• Providers in Neosho, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2022; 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.