Chad John Barney, D.M.D.
Individual provider Active NPI General Practice Dentistry · Lewiston, ID
NPI 1063529337 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1063529337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D-3147 (ID)
- Practice address
- 328 Saint Johns Way
Lewiston, ID 83501-2451 - Phone
- (208) 746-1771
- Fax
- (208) 798-1586
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141209000452 | ID | Order and Referring Only - Oral Surgery |
7810219516 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D-3147 | ID | Yes |
Addresses
Primary practice location
328 Saint Johns Way
Lewiston, ID 83501-2451
Mailing address
611 25TH Ave
Lewiston, ID 83501-3851
Phone (208) 798-8907
Other providers in Lewiston, ID
- Emalissa Brooke Anne Balentine
- Mark Banks
- Michele Barden
- Carolyn Elizabeth Barndt
- Danielle Barnes
- Kyle Barsness
- Travis B Bartschi
- Cooper Baumgardt
- Alex Bayless
- Larry Bearden
All providers in Lewiston, ID · General Practice Dentistry in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.