NPIMap

Organization Active NPI

Michael W. Barba

  • Dental Clinic/Center
  • Mason City, IA
National Provider Identifier
1114009255
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7089 Issued in IA
Legal business name
MICHAEL W. BARBA
Practice address
1453 4TH St SE
Suite a
Mason City, IA 50401-4437
Phone
(641) 423-2172
Fax
(641) 421-4166
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Wayne Barba, D.D.S., M.S.
Title
Owner/Orthodontist
Phone
(641) 423-2172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7089 IA Primary

Addresses

Primary practice location

1453 4TH St SE
Suite a
Mason City, IA 50401-4437

Mailing address

1453 4TH St SE
Suite a
Mason City, IA 50401-4437
Phone (641) 423-2172

Other identifiers 1

IdentifierTypeStateIssuer
0456699MedicaidIA

National Provider Directory

National Provider Directory

Locations

1453 4th St SE
Ste A
Mason City, IA 50401
Phone (641) 423-2172

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114009255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 4TH ST SE",
            "address_2": "SUITE A",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504014437",
            "telephone_number": "641-423-2172",
            "fax_number": "641-421-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 4TH ST SE",
            "address_2": "SUITE A",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504014437",
            "telephone_number": "641-423-2172",
            "fax_number": "641-421-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W. BARBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARBA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "641-423-2172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "7089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0456699",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.