John Barroso DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

License

12789 Issued in TX

Legal business name

JOHN BARROSO DDS, PC

Practice address

1161 SW Wilshire Blvd Ste 100
Burleson, TX 76028-5708

Phone

(817) 447-6040

Fax

(817) 447-6004

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

John E Barroso, DDS

Title

Ceo

Phone

(817) 447-6040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225254147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 SW WILSHIRE BLVD STE 100",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285708",
            "telephone_number": "817-447-6040",
            "fax_number": "817-447-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 SW WILSHIRE BLVD STE 100",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285708",
            "telephone_number": "817-447-6040",
            "fax_number": "817-447-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN BARROSO DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARROSO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-447-6040",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "12789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Burleson, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.