Organization Active NPI

Daniel R Byrne DMD PS

  • General Practice Dentistry
  • Belfair, WA
National Provider Identifier
1982840914
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6846 Issued in WA
Legal business name
DANIEL R BYRNE DMD PS
Practice address
21 NE Romance Hill Rd
Suite 103
Belfair, WA 98528
Phone
(360) 275-6292
Fax
(360) 275-6292
NPI assigned
Dec 22, 2008
Last updated
May 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Authorized official

Name
Dr. Daniel R Byrne, DMD
Title
President
Phone
(360) 275-6290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6846 WA Primary

Addresses

Primary practice location

21 NE Romance Hill Rd
Suite 103
Belfair, WA 98528

Mailing address

3110 Judson St Ste 179
Gig Harbor, WA 98335-1254
Phone (235) 851-2060

Other identifiers 2

IdentifierTypeStateIssuer
6846OtherWASTATE LICENSE
5057260MedicaidWA

National Provider Directory

National Provider Directory

Locations

21 NE Romance Hill Rd
Ste 103
Belfair, WA 98528
Phone (360) 275-6292

3110 Judson St
Ste 179
Gig Harbor, WA 98335

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1982840914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 JUDSON ST STE 179",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351254",
            "telephone_number": "235-851-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 NE ROMANCE HILL RD",
            "address_2": "SUITE 103",
            "city": "BELFAIR",
            "state": "WA",
            "postal_code": "98528",
            "telephone_number": "360-275-6292",
            "fax_number": "360-275-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL R BYRNE DMD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "BYRNE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-275-6290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6846",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5057260",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belfair, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.