Individual provider Active NPI

Todd Reed Barrett, DMD

  • Endodontics
  • Columbia, SC
National Provider Identifier
1063465136
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
3675 Issued in SC
Practice address
4023 Forest Dr
Columbia, SC 29204-4313
Phone
(803) 782-7722
Fax
(803) 782-4573
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 3675 SC Primary

Addresses

Primary practice location

4023 Forest Dr
Columbia, SC 29204-4313

Mailing address

4023 Forest Dr
Columbia, SC 29204-4313
Phone (803) 782-7722

Other identifiers 1

IdentifierTypeStateIssuer
ZX3675MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140422001712 SC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7113159369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3675SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Endodontics, LLC CurrentSince Dec 24, 2023 Accepting new patients
Palmetto Endodontics, LLC Endodontics Past Accepting new patients

Locations

4023 Forest Dr
Columbia, SC 29204
Phone (803) 782-7722

322 W Main St
Lexington, SC 29072
Phone (803) 719-4187

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063465136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044313",
            "telephone_number": "803-782-7722",
            "fax_number": "803-782-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044313",
            "telephone_number": "803-782-7722",
            "fax_number": "803-782-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "TODD",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "SC",
            "license": "3675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3675",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.