NPIMap

Organization Active NPI

Layne & Barth Family Dentistry, PA

  • General Practice Dentistry
  • Blountstown, FL
National Provider Identifier
1326360397
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN18715 Issued in FL
Legal business name
LAYNE & BARTH FAMILY DENTISTRY, PA
Practice address
19606 Sr 20 W
Blountstown, FL 32424-4007
Phone
(850) 674-5502
Fax
(850) 674-9790
NPI assigned
Feb 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Authorized official

Name
Barbara H. Collier
Title
Office Manager
Phone
(850) 674-5502

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN6876 FL
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN18715 FL Primary

Addresses

Primary practice location

19606 Sr 20 W
Blountstown, FL 32424-4007

Mailing address

19606 Sr 20 W.
Blountstown, FL 32424
Phone (850) 674-8681

Other identifiers 3

IdentifierTypeStateIssuer
782-959OtherFLCOMP BENEFITS
782959OtherFLUNITED CONCORDIA
85486OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

19606 State Road 20 W
Blountstown, FL 32424
Phone (850) 674-5502

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1326360397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19606 SR 20 W.",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "32424",
            "telephone_number": "850-674-8681",
            "fax_number": "850-674-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19606 SR 20 W",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324244007",
            "telephone_number": "850-674-5502",
            "fax_number": "850-674-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAYNE & BARTH FAMILY DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-674-5502"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN6876",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMP BENEFITS",
            "identifier": "782-959",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "782959",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85486",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blountstown, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.