Active NPI
Randall Barkley, D.D.S.
- Pediatric Dentistry
- Ft Worth, TX
National Provider Identifier
1326155771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 12168
- Practice address
- 3600 Hulen St
Ste B-1
Ft Worth, TX 76107-6863 - Phone
- (817) 732-3230
- Fax
- (817) 732-4024
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 12168 | TX | Primary |
Addresses
Primary practice location
3600 Hulen St
Ste B-1
Ft Worth, TX 76107-6863
Mailing address
3600 Hulen St
Ste B-1
Ft Worth, TX 76107-6863
Phone (817) 732-3230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0910671 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12168 | TX | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326155771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 HULEN ST",
"address_2": "STE B-1",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761076863",
"telephone_number": "817-732-3230",
"fax_number": "817-732-4024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 HULEN ST",
"address_2": "STE B-1",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761076863",
"telephone_number": "817-732-3230",
"fax_number": "817-732-4024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKLEY",
"first_name": "RANDALL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "12168",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0910671",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ft Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.