Barnes Dental Corporation Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

38644 Issued in CA

Legal business name

BARNES DENTAL CORPORATION INC

Practice address

2626 S. Mooney Blvd, Suite C
Visalia, CA 93277

Phone

(559) 635-0206

Fax

(559) 635-0211

NPI assigned

Aug 11, 2010

Organization subpart

Yes

Parent organization

BARNES DENTAL SURGERY CENTERAs reported in NPPES

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

Authorized official

Name

Mr. Richard W Barnes, DENTIST DDSNPI 1073622965

Title

Dentist/Owner

Phone

(559) 635-0206

Specialties & licenses 2

Addresses

Other names 1

• Barnes Dental Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Ambulatory surgical center certification: CCN 05C0001992

Legal name

BARNES DENTAL SURGERY CENTER, INC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Apr 2, 2012

Last certification

Mar 20, 2018

Ownership / control type

Proprietary

Facility address

2626 South Mooney Boulevard, Suite C
Visalia, CA 93277

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Barnes Dental Corp2 organizations share this tax ID, including this one

Part of

Barnes Dental Corp

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Barnes Dental Associates

  • General Practice Dentistry
  • Visalia, CA
  • NPI 1962845693
  NPD tax ID

Locations

Practitioners 3

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

• Aumnard Saiseubyat, CRNA

  • Certified Registered Nurse Anesthetist
  • Stockton, CA
  • NPI 1083973499
  Medicare reassignment NPD
• Richard William Barnes, D.D.S.

  • Dentist
  • Visalia, CA
  • NPI 1073622965
  NPD Authorized official
• Cameron Scott Loeffler, DDS

  • Dentist
  • Visalia, CA
  • NPI 1346715323
  NPD (past)

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1124333497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 S. MOONEY BLVD. SUITE C",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93277",
            "telephone_number": "559-635-0206",
            "fax_number": "559-635-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 S. MOONEY BLVD, SUITE C",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93277",
            "telephone_number": "559-635-0206",
            "fax_number": "559-635-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNES DENTAL CORPORATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BARNES DENTAL SURGERY CENTER",
        "enumeration_date": "2010-08-11",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "559-635-0206",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DENTIST DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38644",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "38644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barnes Dental Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Barnes Dental Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen M Barbosa, MD
• Marisa Julianna Barela, CTRS, MSW STUDENT
• Miguel A Baret-Daniel, NHP
• Rusty Barker, AOD
• Barnes Dental Associates
• Carin Elizabeth Barnes, LMFT
• Richard William Barnes, D.D.S.
• Kelly Ann Barnett
• Michael S Barnett, MD
• Selina Anne Marie Barnett, PHD

• Ambulatory Surgical Clinic/Center in Visalia, CA
• Providers in Visalia, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.