Active NPI
Paige Elizabeth Barry, D.M.D.
- General Practice Dentistry
- Cuyahoga Falls, OH
National Provider Identifier
1194390062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30.027069
- Practice address
- 63 Graham Rd
Cuyahoga Falls, OH 44223-1294 - Phone
- (330) 949-3366
- NPI assigned
- May 24, 2021
- Last updated
- May 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30.027069 | OH | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | RES.004339 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | OH |
Addresses
Primary practice location
63 Graham Rd
Cuyahoga Falls, OH 44223-1294
Mailing address
63 Graham Rd
Cuyahoga Falls, OH 44223-1294
Phone (330) 949-3366
Other practice location 1
1001 Covington St
Youngstown, OH 44510-1617
Phone (330) 480-3195
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | securerecords.sanford.html |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20210629001543 | OH | Order and Referring Only - Dentist | 7416358346 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.027069 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684540800000",
"number": "1194390062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 GRAHAM RD",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442231294",
"telephone_number": "330-949-3366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 GRAHAM RD",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442231294",
"telephone_number": "330-949-3366"
}
],
"practiceLocations": [
{
"address_1": "1001 Covington St",
"address_purpose": "LOCATION",
"city": "Youngstown",
"state": "OH",
"postal_code": "445101617",
"country_code": "US",
"telephone_number": "330-480-3195",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARRY",
"first_name": "PAIGE",
"middle_name": "ELIZABETH",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-24",
"last_updated": "2023-05-20",
"certification_date": "2023-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30.027069",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "RES.004339",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "N",
"address_1": "1001 Covington St",
"city": "Youngstown",
"state": "OH",
"country_code": "US",
"postal_code": "445101617",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cuyahoga Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2023; 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.