Organization Active NPI

Dennis Barber Shop

  • Customized Equipment (DME)
  • Vacaville, CA
National Provider Identifier
1053451146
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
A181199 Issued in CA
Legal business name
DENNIS BARBER SHOP
Practice address
1007 Alamo Dr
Vacaville, CA 95687-5603
Phone
(707) 447-4927
Fax
(707) 447-2529
NPI assigned
Feb 7, 2007
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
DENNIS PECORELLAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mr. Dennis David Pecorella
Title
Owner
Phone
(707) 447-4927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X A181199 CA Primary

Addresses

Primary practice location

1007 Alamo Dr
Vacaville, CA 95687-5603

Mailing address

1007 Alamo Dr
Vacaville, CA 95687-5603
Phone (707) 447-4927

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ65425ZOtherCABLUE SHIELD PIN

National Provider Directory

National Provider Directory
Part of
Dennis Barber Shop

Locations

1007 Alamo Dr
Vacaville, CA 95687
Phone (707) 447-4927

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1053451146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 ALAMO DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956875603",
            "telephone_number": "707-447-4927",
            "fax_number": "707-447-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 ALAMO DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956875603",
            "telephone_number": "707-447-4927",
            "fax_number": "707-447-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS BARBER SHOP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENNIS PECORELLA",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "PECORELLA",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-447-4927",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "A181199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "ZZZ65425Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.