Blake Spencer Barney, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60301991 Issued in WA

Practice address

1525 Riverside Avenue
Suite B
Fort Collins, CO 80524

Phone

(970) 493-9001

Fax

(970) 416-6336

NPI assigned

Sep 13, 2012

Last updated

Jan 21, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1225388606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 RIVERSIDE AVENUE",
            "address_2": "SUITE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80524",
            "telephone_number": "970-493-9001",
            "fax_number": "970-416-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 RIVERSIDE AVENUE",
            "address_2": "SUITE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80524",
            "telephone_number": "970-493-9001",
            "fax_number": "970-416-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNEY",
        "first_name": "BLAKE",
        "middle_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-13",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60301991",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60301991",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WA",
            "license": "DE60301991",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Rose Barker, RPH
• Kate Barlow
• Shequeeta Barnes, MSW, LCSW
• Susan Barnes
• Debbi J Barnett, FNP-C
• Joshua Barney
• Kristin Gaines Barney, D.O.
• Ariel Monique Barnslater
• Kevin Baro, PA-C
• Katherine L Barr

• General Practice Dentistry in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.