Individual provider Active NPI

Wayne S. Barker, DDS, FACP

  • Prosthodontics
  • Jacksonville, FL
National Provider Identifier
1023013281
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DN11423 Issued in FL
Practice address
7740 Point Meadows Dr
Ste 4
Jacksonville, FL 32256-9180
Phone
(904) 645-6457
Fax
(904) 645-6459
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DN11423 FL Primary

Addresses

Primary practice location

7740 Point Meadows Dr
Ste 4
Jacksonville, FL 32256-9180

Mailing address

7740 Point Meadows Dr
Ste 4
Jacksonville, FL 32256-9180
Phone (904) 645-6457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20190109002176 FL Order and Referring Only - DentistPractitioner - Dentist 7618213844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Complete Dentistry PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023013281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 POINT MEADOWS DR",
            "address_2": "STE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569180",
            "telephone_number": "904-645-6457",
            "fax_number": "904-645-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 POINT MEADOWS DR",
            "address_2": "STE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569180",
            "telephone_number": "904-645-6457",
            "fax_number": "904-645-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "WAYNE",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DDS, FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN11423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.