Individual provider Active NPI

Brian Thomas Barker, D.D.S., M.S.

  • Endodontics
  • Ventura, CA
National Provider Identifier
1154598175
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
55666 Issued in CA
Practice address
1190 S Victoria Ave
Suite 302
Ventura, CA 93003-6507
Phone
(805) 639-8801
Fax
(805) 639-4077
NPI assigned
May 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DS037341 PA
Endodontics 1223E0200X 55666 CA Primary

Addresses

Primary practice location

1190 S Victoria Ave
Suite 302
Ventura, CA 93003-6507

Mailing address

1190 S Victoria Ave
Suite 302
Ventura, CA 93003-6507
Phone (805) 639-8801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160219001500 CA Order and Referring Only - DentistPractitioner - Dentist 9739484387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DS037341PAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian T Barker, D.D.S., M.S., Inc. Endodontics Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1154598175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 S VICTORIA AVE",
            "address_2": "SUITE 302",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036507",
            "telephone_number": "805-639-8801",
            "fax_number": "805-639-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 S VICTORIA AVE",
            "address_2": "SUITE 302",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036507",
            "telephone_number": "805-639-8801",
            "fax_number": "805-639-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS037341",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "55666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.