Active NPI
Mark Shawver Barrett, DDS
- General Practice Dentistry
- Zebulon, NC
National Provider Identifier
1043311012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3766
- Practice address
- 313 Hospital Road
Zebulon, NC 27597 - Phone
- (919) 269-9698
- Fax
- (919) 269-9778
- NPI assigned
- Sep 25, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3766 | NC | Primary |
Addresses
Primary practice location
313 Hospital Road
Zebulon, NC 27597
Mailing address
313 Hospital Road
Zebulon, NC 27597
Phone (919) 269-9698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90464 | Other | BCBS |
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 |
|---|---|---|---|
| 3766 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barrett & Collins DDS PLLC | General Practice | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Zebulon, NC
- NPI 1790895126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043311012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 HOSPITAL ROAD",
"city": "ZEBULON",
"state": "NC",
"postal_code": "27597",
"telephone_number": "919-269-9698",
"fax_number": "919-269-9778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 HOSPITAL ROAD",
"city": "ZEBULON",
"state": "NC",
"postal_code": "27597",
"telephone_number": "919-269-9698",
"fax_number": "919-269-9778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "MARK",
"middle_name": "SHAWVER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "3766",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "90464",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Zebulon, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.