Kenneth Barry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25477 Issued in CA

Practice address

1252 Airport Park Blvd
Suite D1
Ukiah, CA 95482-5979

Phone

(707) 462-8719

NPI assigned

Sep 18, 2014

Last updated

Sep 18, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Debora Rayhan D.D.S., Inc.

  • Dentist
  • Ukiah, CA
  • NPI 1053889956
  NPD (past)

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1053713347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 AIRPORT PARK BLVD",
            "address_2": "SUITE D1",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 AIRPORT PARK BLVD",
            "address_2": "SUITE D1",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825979",
            "telephone_number": "707-462-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "KENNETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "25477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Barr
• Ryan Barragan
• Candi Paola Barrera
• Peter Barrett, LMFT
• Robert Wesley Barrington, DDS
• Allison Baskin
• Lillian Basner, FNP
• Macee Lee Bates, CASE MANAGER 1
• Ronald Sean Batin, M.D.
• Eric J Bauer, MD

• General Practice Dentistry in Ukiah, CA
• Providers in Ukiah, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.