Individual provider Active NPI

Kelley Louise Barnard, D.M.D.

  • Dentist
  • Lakewood, CO
National Provider Identifier
1285018283
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00202574 Issued in CO
Practice address
963 S Zephyr CT
Lakewood, CO 80226-4317
Phone
(303) 902-0146
NPI assigned
Jul 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 00202574 CO Primary

Addresses

Primary practice location

963 S Zephyr CT
Lakewood, CO 80226-4317

Mailing address

963 S Zephyr CT
Lakewood, CO 80226-4317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151102002414 CO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6103136247
I20161026001035 CO Order and Referring Only - DentistPractitioner - Dentist 6103136247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00202574COMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1285018283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 S ZEPHYR CT",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802264317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 S ZEPHYR CT",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802264317",
            "telephone_number": "303-902-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNARD",
        "first_name": "KELLEY",
        "middle_name": "LOUISE",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00202574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.