Active NPI
Brian Thomas Barker, D.D.S., M.S.
- Endodontics
- Ventura, CA
National Provider Identifier
1154598175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 55666
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160219001500 | CA | Order and Referring Only - Dentist | 9739484387 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS037341 | PA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Advanced Endodontics of Ventura
- Endodontics
- Ventura, CA
- NPI 1770901480
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.