Individual provider Active NPI

Michael Barbick, MD, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Tampa, FL
National Provider Identifier
1174727853
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
18016 Issued in FL
Practice address
16546 N Dale Mabry Hwy
Tampa, FL 33618-1325
Phone
(813) 264-2286
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 18016 FL Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2010011430 MO

Addresses

Primary practice location

16546 N Dale Mabry Hwy
Tampa, FL 33618-1325

Mailing address

16546 N Dale Mabry Hwy
Tampa, FL 33618-1325
Phone (813) 264-2286

Other practice location 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160510000154 FL Order and Referring Only - DentistPractitioner - Maxillofacial SurgeryPractitioner - Dentist 2062540529

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18016FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Omfs LLC Oral and Maxillofacial Surgery Current Accepting new patients
Illinois Oral and Maxillofacial Surgery Oral and Maxillofacial Surgery Current Accepting new patients
Oral and Maxillofacial Surgery of Minnesota PLLC Oral and Maxillofacial Surgery CurrentSince Oct 29, 2023 Accepting new patients

Locations

16546 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 264-2286

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

1029 19th Ave SW
Willmar, MN 56201
Phone (320) 235-1803

Interoperability endpoints

  • Direct secure messaging: mbarbick888850@direct.centracare.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1174727853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16546 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181325",
            "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": "16546 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181325",
            "telephone_number": "813-264-2286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14005 N Dale Mabry Hwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336182401",
            "country_code": "US",
            "telephone_number": "813-264-2286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARBICK",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD, DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "18016",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "2010011430",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.