Individual provider Active NPI

Keith John Barton, IDMT

  • Independent Duty Medical Technicians
  • Travis AFB, CA
National Provider Identifier
1255566915
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty Medical TechniciansTaxonomy code 1710I1003X
Practice address
531 Waldron St Ste D
349TH Aerospace Medicine Sqadron
Travis AFB, CA 94535-2125
Phone
(707) 424-3812
Fax
(707) 424-3813
NPI assigned
May 26, 2009
Last updated
May 26, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Medical Technicians 1710I1003X Primary

Addresses

Primary practice location

531 Waldron St Ste D
349TH Aerospace Medicine Sqadron
Travis AFB, CA 94535-2125

Mailing address

531 Waldron St Ste D
349TH Aerospace Medicine Sqadron
Travis AFB, CA 94535-2125
Phone (707) 424-3812

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

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1255566915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 WALDRON ST STE D",
            "address_2": "349TH AEROSPACE MEDICINE SQADRON",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945352125",
            "telephone_number": "707-424-3812",
            "fax_number": "707-424-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 WALDRON ST STE D",
            "address_2": "349TH AEROSPACE MEDICINE SQADRON",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945352125",
            "telephone_number": "707-424-3812",
            "fax_number": "707-424-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTON",
        "first_name": "KEITH",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Travis AFB, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.