Active NPI
Brent L Barker, D.D.S.
- Public Health Dentistry
- Wanblee, SD
National Provider Identifier
1225005473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- M938
- Practice address
- 210 1St.
Wanblee, SD 57577 - Phone
- (605) 462-6155
- Fax
- (605) 462-6551
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | M938 | SD | Primary |
Addresses
Primary practice location
210 1St.
Wanblee, SD 57577
Mailing address
210 1St.
Wanblee, SD 57577
Phone (605) 462-6155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M938 | SD | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225005473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 1ST.",
"city": "WANBLEE",
"state": "SD",
"postal_code": "57577",
"telephone_number": "605-462-6155",
"fax_number": "605-462-6551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 1ST.",
"city": "WANBLEE",
"state": "SD",
"postal_code": "57577",
"telephone_number": "605-462-6155",
"fax_number": "605-462-6551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKER",
"first_name": "BRENT",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "SD",
"license": "M938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wanblee, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.