Active NPI
Mark Thomas Barry, D.D.S.
- Dentist
- Orem, UT
National Provider Identifier
1023339264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7683667-9921
- Practice address
- 1943 N State St
Orem, UT 84057-2028 - Phone
- (801) 226-0441
- Fax
- (801) 226-4754
- NPI assigned
- Jun 22, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7683667-9921 | UT | Primary |
Addresses
Primary practice location
1943 N State St
Orem, UT 84057-2028
Mailing address
1943 N State St
Orem, UT 84057-2028
Phone (801) 226-0441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7683667-9921 | UT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barry Family Dental Group | 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.
-
- General Practice Dentistry
- Orem, UT
- NPI 1679711006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1023339264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1943 N STATE ST",
"city": "OREM",
"state": "UT",
"postal_code": "840572028",
"telephone_number": "801-226-0441",
"fax_number": "801-226-4754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1943 N STATE ST",
"city": "OREM",
"state": "UT",
"postal_code": "840572028",
"telephone_number": "801-226-0441",
"fax_number": "801-226-4754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRY",
"first_name": "MARK",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-22",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "7683667-9921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.