Individual provider Active NPI

Mariam Barikbin, DMD

  • Dentist
  • Harleysville, PA
National Provider Identifier
1346479938
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS037939 Issued in PA
Practice address
101 Dorchester Way
Harleysville, PA 19438-2998
Phone
(276) 273-2484
NPI assigned
Jul 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS037939 PA Primary
Dentist 122300000X DN18272 FL

Addresses

Primary practice location

101 Dorchester Way
Harleysville, PA 19438-2998

Mailing address

101 Dorchester Way
Harleysville, PA 19438-2998
Phone (276) 273-2484

Other names 1

  • Dr. Mariam Gudarzi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160309000019 PA Order and Referring Only - DentistPractitioner - Dentist 6002112646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN18272FLMDDentist
DS037939PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mariam Barikbin, DMD, PA Current Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246838400000",
    "number": "1346479938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DORCHESTER WAY",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382998",
            "telephone_number": "276-273-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DORCHESTER WAY",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382998",
            "telephone_number": "276-273-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARIKBIN",
        "first_name": "MARIAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037939",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAM",
            "last_name": "GUDARZI",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harleysville, PA

Sources for this page

Verify at the official NPI Registry.