Active NPI
Logan David Barnes, D.M.D.
- General Practice Dentistry
- Murrells Inlet, SC
National Provider Identifier
1104207968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8555
- Practice address
- 11990 Highway 17 by-Pass
Unit 8
Murrells Inlet, SC 29756 - Phone
- (843) 651-0314
- Fax
- (843) 651-3662
- NPI assigned
- Jun 17, 2015
- Last updated
- May 1, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8555 | SC | Primary |
Addresses
Primary practice location
11990 Highway 17 by-Pass
Unit 8
Murrells Inlet, SC 29756
Mailing address
11990 Highway 17 by-Pass
Unit 8
Murrells Inlet, SC 29756
Phone (843) 651-0314
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 |
|---|---|---|---|
| 8555 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Dental Group LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Murrells Inlet, SC
- NPI 1144684853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493596800000",
"number": "1104207968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11990 HIGHWAY 17 BY-PASS",
"address_2": "UNIT 8",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "29756",
"telephone_number": "843-651-0314",
"fax_number": "843-651-3662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11990 HIGHWAY 17 BY-PASS",
"address_2": "UNIT 8",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "29756",
"telephone_number": "843-651-0314",
"fax_number": "843-651-3662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "LOGAN",
"middle_name": "DAVID",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-17",
"last_updated": "2017-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "8555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrells Inlet, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.