DR. KAYLA RENAE BYRNE (NPI# 1821146960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821146960 |
| Entity Type | Individual |
| Full Name | DR. KAYLA RENAE BYRNE |
| Credential | D.D.S. |
| Practice Address |
7600 Fern Ave Ste 300 Shreveport LA 71105-5672 |
| Practice Telephone | 3185240700 |
| Practice Fax Number | 3185240705 |
| Mailing Telephone | 3185240700 |
| Mailing Fax Number | 3185240705 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
5174 | LA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | UNITED CONCORDIA NONNET # | 1488089 | 01 |
| Street Address |
7600 FERN AVE STE 300 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013295815 | David M. Vieth Dds, A Professional Corporation | Dentist | 9018 Mansfield Rd, Shreveport, LA 71118-2608 | 2011-07-27 |
| 1346571866 | David M Vieth Dds, A Professional Corporation | Dentist | 3735 Jewella Ave, Shreveport, LA 71109-4703 | 2010-01-22 |
| 1346219581 | John M Gilmer Jr. | Dentist | 275 Kayla St, Ste. 300, Shreveport, LA 71105-4257 | 2006-03-17 |
| 1013181312 | Paul Lawrence Wood | Dentist | 745 Edgemont St, Shreveport, LA 71106-2223 | 2008-04-17 |
| 1154459386 | James Earl Brady | Dentist | 2001 E 70th St, Suite 301, Shreveport, LA 71105-5328 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104455401 | Grace Elizabeth Beck Coburn | Dentist | 3100 Galleria, Suite 206, Metairie, LA 70001 | 2020-04-07 |
| 1326686866 | Acadiana Endodontics | Dentist | 4906 Ambassador Caffery Pkwy Bldg O, Lafayette, LA 70508-6962 | 2019-12-16 |
| 1013497262 | Crescent City Endodontics | Dentist | 250 Ochsner Blvd Ste 200, Gretna, LA 70056-5257 | 2018-08-17 |
| 1700239498 | Vincent Dicarlo II | Dentist | 9804 Bluebonnet Blvd Ste B, Baton Rouge, LA 70810-6479 | 2016-07-18 |
| 1114359346 | Regine Dyer | Dentist | 1317 Lake Ave Apt C213, Metairie, LA 70005-5907 | 2013-07-30 |
| 1356603963 | Chelsea Patricia Accardo | Dentist | 605 N Carrollton Ave, New Orleans, LA 70119-4743 | 2012-06-10 |
| 1578858254 | David M. Vieth Dds, A Professional Corporation | Dentist | 2222 Clearview Pkwy, Suite 1, Metairie, LA 70001-2437 | 2011-06-10 |
| 1295028751 | Michelle B Speier | Dentist | 11906 Lake Estates Ave, Baton Rouge, LA 70810-7320 | 2011-05-17 |
| 1861790461 | Joseph Pierce Braud Jr. | Dentist | 603 Rue De Lion, New Iberia, LA 70563-2114 | 2011-03-05 |
| 1235434002 | Lisa P. Germain D.d.s., M.sc.d., L.L.C. | Dentist | 2633 Napoleon Ave Ste 701, New Orleans, LA 70115-7416 | 2011-01-25 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.