Active NPI
Barry Pass, DDS
- Oral and Maxillofacial Radiology Dentistry
- Washington, DC
National Provider Identifier
1063619252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Radiology Dentistry
- License
- DEN1000303
- Practice address
- 2021 K St NW
Suite 200
Washington, DC 20006-1003 - Phone
- (202) 293-9729
- Fax
- (703) 413-0554
- NPI assigned
- Jun 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | DEN1000303 | DC | Primary |
Addresses
Primary practice location
2021 K St NW
Suite 200
Washington, DC 20006-1003
Mailing address
1501 Crystal Dr
Suite 629
Arlington, VA 22202-4121
Phone (703) 489-0252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN1000303 | DC | MD | Oral and Maxillofacial Radiology Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063619252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 CRYSTAL DR",
"address_2": "SUITE 629",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222024121",
"telephone_number": "703-489-0252",
"fax_number": "703-413-0554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 K ST NW",
"address_2": "SUITE 200",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200061003",
"telephone_number": "202-293-9729",
"fax_number": "703-413-0554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASS",
"first_name": "BARRY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0008X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Radiology",
"state": "DC",
"license": "DEN1000303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.