Frederic Barnett, DMD
Individual provider Active NPI Endodontics · Phila, PA
NPI 1306904909 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1306904909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endodontics 1223E0200X
- License
- DS021384L (PA)
- Practice address
- 5501 Old York Rd
Dental Medicine
Phila, PA 19141-3018 - Phone
- (215) 456-7104
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200407000135 | PA | Practitioner - Dentist | 4789013186 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Einstein Practice Plan Inc | Current |
Accepting new patients | |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Current |
Accepting new patients |
Locations
5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180
5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405
101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630
Interoperability endpoints
- frederic.barnett.p1@direct.projecthome.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DS021384L | PA | Yes |
Addresses
Primary practice location
5501 Old York Rd
Dental Medicine
Phila, PA 19141-3018
Mailing address
131 Fairview Rd
Narberth, PA 19072-1330
Phone (245) 456-7104
Other providers in Phila, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.