Geoffrey Barnum, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

27138 Issued in TX

Practice address

1104 Bluebonnet St
Glen Rose, TX 76043-5013

Phone

(254) 898-4646

NPI assigned

Aug 19, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• GBCC Dental PLLC

  • General Practice Dentistry
  • Glen Rose, TX
  • NPI 1407397144
  NPD
• Glen Rose Family Dental

  • Preferred Provider Organization
  • Glen Rose, TX
  • NPI 1003351271
  NPD (past)
• Hickory Creek Dental Group and Orthodontics, PC

  • General Practice Dentistry
  • Denton, TX
  • NPI 1770714800
  NPD (past)
• Scottsdale Modern Dentistry and Orthodontics, LLP

  • General Practice Dentistry
  • Scottsdale, AZ
  • NPI 1730434515
  NPD (past)

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1104106228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 BLUEBONNET ST",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "760435013",
            "telephone_number": "254-898-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 BLUEBONNET ST",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "760435013",
            "telephone_number": "254-898-4646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5017 Teasley Ln",
            "address_2": "Ste 165",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762103839",
            "country_code": "US",
            "telephone_number": "940-387-4597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10260 N 90th St",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584408",
            "country_code": "US",
            "telephone_number": "480-941-3907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNUM",
        "first_name": "GEOFFREY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-19",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "10226",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "27138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Adams, RPH
• Tammie Apodaca
• Jennifer Swindle Baine, PA-C
• Mikayla Jane Belew, MS, OTR/L
• Best Value Pharmacies Inc
• C Jeffrey Bise, LPC
• Dale Bradley, RN
• Bruce Carpenter MD

• Dentist in Glen Rose, TX
• Providers in Glen Rose, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.