Bradley Shane Barlow, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D-3781 Issued in ID

Practice address

602 N Calgary CT
Suite 201
Post Falls, ID 83854-4000

Phone

(208) 777-9331

Fax

(208) 777-9335

NPI assigned

Jul 18, 2006

Last updated

Aug 28, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Little Smiles Pediatric Dentistry PC

  • Pediatric Dentistry
  • Post Falls, ID
  • NPI 1861926677
  Authorized official Same address or phone
• Post Falls ASC, L.L.C.

  • Ambulatory Surgical Clinic/Center
  • Post Falls, ID
  • NPI 1518298421
  Authorized official Same address or phone

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1346268208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 N CALGARY CT",
            "address_2": "SUITE 201",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838544000",
            "telephone_number": "208-777-9331",
            "fax_number": "208-777-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N CALGARY CT",
            "address_2": "SUITE 201",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838544000",
            "telephone_number": "208-777-9331",
            "fax_number": "208-777-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARLOW",
        "first_name": "BRADLEY",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ID",
            "license": "D-3781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806893400",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Bailey, MD
• Kathlene Elizabeth Bailey, PHARMD
• Andrea Marie Balsimo, FNP
• Nathan Alan Banner, R.T
• Virginia Jean Barb, RN
• Shellie a Ann Barlow
• Joseph Barrett
• Andrea Barrington
• Jason Barrios, D.C.
• Holly J Bassler, D.O.

• Pediatric Dentistry in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Pediatric Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.