Travis Barrett, DMD, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2020022465 Issued in MO

Practice address

77 W Port PLZ Ste 367
Saint Louis, MO 63146-3124

Phone

(314) 434-4676

NPI assigned

Jul 20, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Aaron G Campbell Periodontics LLC

  • Periodontics
  • Saint Louis, MO
  • NPI 1225715303
  NPD
• Westport Periodontics P.C.

  • Periodontics
  • Saint Louis, MO
  • NPI 1902953391
  NPD (past)

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716076800000",
    "number": "1053929778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W PORT PLZ STE 367",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463124",
            "telephone_number": "314-434-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W PORT PLZ STE 367",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463124",
            "telephone_number": "314-434-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-20",
        "last_updated": "2024-05-19",
        "certification_date": "2024-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2020022465",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "2020022465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toby Barrack
• Alicia Ann Barrens I
• Cara Barresi, MED, PLPC
• Amy Nicole Barrett, CRNA
• Rachel Marie Barrett
• Veronica Barrett, CPNP-PC
• Ernie-Paul Barrette, MD
• Caroline R Barrettsmart, LCSW
• Douglas K Barrientos, OTR-L
• Catherine Barril I

• Periodontics in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Periodontics in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2024; 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.