Individual provider Active NPI

Colin Patrick Barbaro, D.D.S.

  • General Practice Dentistry
  • Selma, NC
National Provider Identifier
1154761674
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10251 Issued in NC
Practice address
110 E Waddell St
Selma, NC 27576-2851
Phone
(919) 965-8660
NPI assigned
Jun 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 10251 NC Primary

Addresses

Primary practice location

110 E Waddell St
Selma, NC 27576-2851

Mailing address

110 E Waddell St
Selma, NC 27576-2851
Phone (919) 965-8660

Other practice location 1

8410 Datapoint Dr
San Antonio, TX 78229-3220
Phone (210) 949-8900

Other practice location 2

308 N Taylor St
Goldsboro, NC 27530-4022
Phone (919) 735-6017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 29, 2018 through Jan 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10251NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Justin R. Barbaro DDS, PLLC General Practice Past Accepting new patients
Dicky E. Parrish, DDS, PA General Practice Past Accepting new patients
Colin P Barbaro, D.D.S., P.L.L.C. General Practice Past Accepting new patients

Organizations & group practices 3

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": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1154761674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E WADDELL ST",
            "city": "SELMA",
            "state": "NC",
            "postal_code": "275762851",
            "telephone_number": "919-965-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E WADDELL ST",
            "city": "SELMA",
            "state": "NC",
            "postal_code": "275762851",
            "telephone_number": "919-965-8660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8410 Datapoint Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293220",
            "country_code": "US",
            "telephone_number": "210-949-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 N Taylor St",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275304022",
            "country_code": "US",
            "telephone_number": "919-735-6017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARBARO",
        "first_name": "COLIN",
        "middle_name": "PATRICK",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, NC

Sources for this page

Verify at the official NPI Registry.