NPIMap

Organization Active NPI

Kim Barker DDS Corp

  • General Practice Dentistry
  • Cleburne, TX
National Provider Identifier
1164710851
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17176 Issued in TX
Legal business name
KIM BARKER DDS CORP
Practice address
115 Hyde Park Blvd
Suite 100
Cleburne, TX 76033-4524
Phone
(817) 645-7201
Fax
(817) 645-5273
NPI assigned
Jul 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Authorized official

Name
Kim Barker, D.D.SNPI 1942331053
Title
Dentist
Phone
(817) 584-6894

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 17176 TX Primary

Addresses

Primary practice location

115 Hyde Park Blvd
Suite 100
Cleburne, TX 76033-4524

Mailing address

115 Hyde Park Blvd
Suite 100
Cleburne, TX 76033-4524
Phone (817) 645-7201

National Provider Directory

National Provider Directory

Locations

115 Hyde Park Blvd
Ste 100
Cleburne, TX 76033
Phone (817) 645-7201

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1164710851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 HYDE PARK BLVD",
            "address_2": "SUITE 100",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760334524",
            "telephone_number": "817-645-7201",
            "fax_number": "817-645-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HYDE PARK BLVD",
            "address_2": "SUITE 100",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760334524",
            "telephone_number": "817-645-7201",
            "fax_number": "817-645-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM BARKER DDS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "817-584-6894",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.