Active NPI
Vishal Madhukar Bari, DDS
- General Practice Dentistry
- Conway, AR
National Provider Identifier
1104783398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN.00206539
- Practice address
- 1125 S Amity Rd
Conway, AR 72032-8090 - Phone
- (501) 764-4465
- NPI assigned
- Jan 8, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4900 | AR | |
| General Practice Dentistry | 1223G0001X | DEN.00206539 | CO | Primary |
Addresses
Primary practice location
1125 S Amity Rd
Conway, AR 72032-8090
Mailing address
12600 E Colfax Ave Unit 382
Aurora, CO 80011-5542
Phone (720) 788-7681
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 |
|---|---|---|---|
| DEN.00206539 | CO | MD | General Practice Dentistry |
| 4900 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1104783398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12600 E COLFAX AVE UNIT 382",
"city": "AURORA",
"state": "CO",
"postal_code": "800115542",
"telephone_number": "720-788-7681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 S AMITY RD",
"city": "CONWAY",
"state": "AR",
"postal_code": "720328090",
"telephone_number": "501-764-4465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARI",
"first_name": "VISHAL",
"middle_name": "MADHUKAR",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-01-08",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "4900",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "DEN.00206539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.