Individual provider Active NPI

Travis Jay Barr, DDS

  • Dentist
  • Lakewood, CO
National Provider Identifier
1073964284
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00202886 Issued in CO
Practice address
3333 S Wadsworth Blvd Unit D305
Lakewood, CO 80227-5142
Phone
(303) 985-1615
Fax
(303) 985-1617
NPI assigned
Jun 29, 2016
Last updated
Sep 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 00202886 CO Primary

Addresses

Primary practice location

3333 S Wadsworth Blvd Unit D305
Lakewood, CO 80227-5142

Mailing address

7889 S Lincoln CT Ste 202
Littleton, CO 80122-2638
Phone (303) 798-4967

Other identifiers 1

IdentifierTypeStateIssuer
DEN.00202886OtherCOLICENSE NUMBER

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

LicenseStateTypeSpecialty
00202886COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Travis Barr DDS, PLLC CurrentSince Jun 9, 2024 Accepting new patients
Southbridge Family Dentistry P.C. Past Accepting new patients

Locations

3333 S Wadsworth Blvd
Unit D305
Lakewood, CO 80227
Phone (303) 985-1615

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1073964284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7889 S LINCOLN CT STE 202",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222638",
            "telephone_number": "303-798-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S WADSWORTH BLVD UNIT D305",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275142",
            "telephone_number": "303-985-1615",
            "fax_number": "303-985-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARR",
        "first_name": "TRAVIS",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-29",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00202886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DEN.00202886",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.