Active NPI
Barry J Farmer, DDS
- Pediatric Dentistry
- Muskogee, OK
National Provider Identifier
1063699650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 3385
- Practice address
- 806 N York St
Muskogee, OK 74403-3863 - Phone
- (918) 683-3451
- Fax
- (918) 683-1116
- NPI assigned
- Jan 25, 2008
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 3385 | OK | Primary |
Addresses
Primary practice location
806 N York St
Muskogee, OK 74403-3863
Mailing address
806 N York St
Muskogee, OK 74403-3863
Phone (918) 683-3451
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 |
|---|---|---|---|
| 3385 | OK | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201219200000",
"number": "1063699650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 N YORK ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744033863",
"telephone_number": "918-683-3451",
"fax_number": "918-683-1116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 N YORK ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744033863",
"telephone_number": "918-683-3451",
"fax_number": "918-683-1116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARMER",
"first_name": "BARRY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-25",
"last_updated": "2008-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OK",
"license": "3385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.