Organization Active NPI

McKay D. Barlow DDS PC

Doing business as River Rock Dental

  • Dental Clinic/Center
  • Twin Falls, ID
National Provider Identifier
1083093504
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D3759 Issued in ID
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.