Organization Active NPI

Chad W. Barber, DDS, PC

  • Dental Clinic/Center
  • Plymouth, MI
National Provider Identifier
1134611122
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2901016770 Issued in MI
Legal business name
CHAD W. BARBER, DDS, PC
Practice address
9331 N Lilley Rd
Plymouth, MI 48170-4609
Phone
(734) 453-8650
Fax
(734) 453-8653
NPI assigned
Jun 5, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Chad William Barber, DDSNPI 1487602140
Title
President/Owner
Phone
(734) 453-8650

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
Dental Clinic/Center 261QD0000X 2901016770 MI Primary

Addresses

Primary practice location

9331 N Lilley Rd
Plymouth, MI 48170-4609

Mailing address

9331 N Lilley Rd
Plymouth, MI 48170-4609
Phone (734) 453-8650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041220000092 MI Part B Supplier - Clinic/Group Practice 3173580388 Receives reassigned benefits from 1 practitioner
Practice locations: Plymouth, MI

National Provider Directory

National Provider Directory

Locations

1311 Ann Arbor Rd W
Plymouth, MI 48170
Phone (313) 453-8510

9331 N Lilley Rd
Plymouth, MI 48170
Phone (734) 453-8650

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1134611122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9331 N LILLEY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704609",
            "telephone_number": "734-453-8650",
            "fax_number": "734-453-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9331 N LILLEY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704609",
            "telephone_number": "734-453-8650",
            "fax_number": "734-453-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD W. BARBER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "734-453-8650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901016770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.