Active NPI
Daniel R Byrne DMD PS
- General Practice Dentistry
- Belfair, WA
National Provider Identifier
1982840914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6846
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6846 | Other | WA | STATE LICENSE |
| 5057260 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
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.