NPIMap

Organization Active NPI

Phillip M Barron DDS, PLLC

  • General Practice Dentistry
  • Benbrook, TX
National Provider Identifier
1114390705
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31393 Issued in TX
Legal business name
PHILLIP M BARRON DDS, PLLC
Practice address
4200 Bryant Irvin Rd
Suite 105
Benbrook, TX 76109-4287
Phone
(817) 732-1626
NPI assigned
Nov 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Dr. Phillip Michael Barron, DDSNPI 1699141366
Title
Dentist
Phone
(817) 732-1626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 31393 TX Primary

Addresses

Primary practice location

4200 Bryant Irvin Rd
Suite 105
Benbrook, TX 76109-4287

Mailing address

4200 Bryant Irvin Rd
Suite 105
Benbrook, TX 76109-4287

National Provider Directory

National Provider Directory

Locations

4200 Bryant Irvin Rd
Ste 105
Benbrook, TX 76109
Phone (817) 732-1626

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1114390705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 BRYANT IRVIN RD",
            "address_2": "SUITE 105",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761094287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 BRYANT IRVIN RD",
            "address_2": "SUITE 105",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761094287",
            "telephone_number": "817-732-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP M BARRON DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "BARRON",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "817-732-1626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benbrook, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.