Individual provider Active NPI

Melvin Lee Barber, DDS

  • General Practice Dentistry
  • Mount Union, PA
National Provider Identifier
1104840149
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS020068L Issued in PA
Practice address
518 N Division St
Mount Union, PA 17066-1713
Phone
(814) 542-4461
Fax
(814) 542-4040
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS020068L PA Primary

Addresses

Primary practice location

518 N Division St
Mount Union, PA 17066-1713

Mailing address

518 N Division St
PO Box 158
Mount Union, PA 17066-1713
Phone (814) 542-4461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20160310001908 PA Order and Referring Only - DentistPractitioner - Dentist 4385940774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104840149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 N DIVISION ST",
            "address_2": "PO BOX 158",
            "city": "MOUNT UNION",
            "state": "PA",
            "postal_code": "170661713",
            "telephone_number": "814-542-4461",
            "fax_number": "814-542-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 N DIVISION ST",
            "city": "MOUNT UNION",
            "state": "PA",
            "postal_code": "170661713",
            "telephone_number": "814-542-4461",
            "fax_number": "814-542-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBER",
        "first_name": "MELVIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020068L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Union, PA

Sources for this page

Verify at the official NPI Registry.