Individual provider Active NPI

Vishal Madhukar Bari, DDS

  • General Practice Dentistry
  • Conway, AR
National Provider Identifier
1104783398
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN.00206539 Issued in CO
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

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DEN.00206539COMDGeneral Practice Dentistry
4900ARMDPhysical 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.

Verify at the official NPI Registry.