Active NPI
McKay D. Barlow DDS PC
Doing business as River Rock Dental
- Dental Clinic/Center
- Twin Falls, ID
National Provider Identifier
1083093504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- D3759
- Legal business name
- MCKAY D. BARLOW DDS PC
- Doing business as
- River Rock Dental
- Practice address
- 1399 Fillmore St
#501
Twin Falls, ID 83301-3351 - Phone
- (208) 737-0222
- NPI assigned
- May 29, 2015
- Last updated
- May 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- McKay D Barlow, DDS
- Title
- President
- Phone
- (208) 737-0222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | D3759 | ID | Primary |
Addresses
Primary practice location
1399 Fillmore St
#501
Twin Falls, ID 83301-3351
Mailing address
1399 Fillmore St
#501
Twin Falls, ID 83301-3351
Other names 1
- River Rock Dental
National Provider Directory
National Provider DirectoryLocations
1399 Fillmore St
Ste 501
Twin Falls, ID 83301
Phone (208) 733-1182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432857600000",
"number": "1083093504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1399 FILLMORE ST",
"address_2": "#501",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833013351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1399 FILLMORE ST",
"address_2": "#501",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833013351",
"telephone_number": "208-737-0222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCKAY D. BARLOW DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-29",
"last_updated": "2015-05-29",
"status": "A",
"authorized_official_last_name": "BARLOW",
"authorized_official_first_name": "MCKAY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "208-737-0222",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "ID",
"license": "D3759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "River Rock Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.