Individual provider Active NPI

Micheal David Barno

  • Dentist
  • Fort Benning, GA
National Provider Identifier
1124253505
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4456 Issued in SC
Practice address
7101 Hoff St BLDG 9240
USA Dental Activity
Fort Benning, GA 31905-5645
Phone
(706) 544-4530
Fax
(706) 544-1939
NPI assigned
May 28, 2009
Last updated
May 28, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4456 SC Primary

Addresses

Primary practice location

7101 Hoff St BLDG 9240
USA Dental Activity
Fort Benning, GA 31905-5645

Mailing address

7101 Hoff St BLDG 9240
USA Dental Activity
Fort Benning, GA 31905-5645
Phone (706) 544-4530

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
4456SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Robnett, D.M.D., P.a. Dentist Past Accepting new patients
Brickyard Dental Group, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1124253505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 HOFF ST BLDG 9240",
            "address_2": "USA DENTAL ACTIVITY",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319055645",
            "telephone_number": "706-544-4530",
            "fax_number": "706-544-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 HOFF ST BLDG 9240",
            "address_2": "USA DENTAL ACTIVITY",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319055645",
            "telephone_number": "706-544-4530",
            "fax_number": "706-544-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNO",
        "first_name": "MICHEAL",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "4456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Benning, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.