Organization Active NPI

Bay Area Jaw and Facial Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Dunedin, FL
National Provider Identifier
1174078810
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN18016 Issued in FL
Legal business name
BAY AREA JAW AND FACIAL SURGERY LLC
Practice address
1993 County Road 1
Dunedin, FL 34698-2833
Phone
(727) 400-3414
Fax
(727) 738-0472
NPI assigned
Aug 23, 2016
Last updated
Aug 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Authorized official

Name
Dr. Michael Brian Barbick, DMD, MDNPI 1174727853
Title
Owner/Oral Surgeon
Phone
(352) 258-6218

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN18016 FL Primary

Addresses

Primary practice location

1993 County Road 1
Dunedin, FL 34698-2833

Mailing address

14005 N Dale Mabry Hwy
Tampa, FL 33618-2401
Phone (813) 264-2286

National Provider Directory

National Provider Directory

Locations

1993 County Road 1
Dunedin, FL 34698
Phone (727) 400-3414

14005 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 220-2122

Practitioners & affiliated clinicians

Practitioners 2

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": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1174078810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14005 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182401",
            "telephone_number": "813-264-2286",
            "fax_number": "813-264-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1993 COUNTY ROAD 1",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346982833",
            "telephone_number": "727-400-3414",
            "fax_number": "727-738-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA JAW AND FACIAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "BARBICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER/ORAL SURGEON",
        "authorized_official_telephone_number": "352-258-6218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN18016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.