Individual provider Active NPI

Jason Philip Barney, D.D.S.

  • Dentist
  • Mesa, AZ
National Provider Identifier
1356555395
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8970 Issued in CO
Practice address
6755 E Superstition Springs Blvd Ste 101
Mesa, AZ 85206-4375
Phone
(480) 807-8022
Fax
(480) 807-5955
NPI assigned
May 9, 2007
Last updated
May 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8970 CO Primary

Addresses

Primary practice location

6755 E Superstition Springs Blvd Ste 101
Mesa, AZ 85206-4375

Mailing address

6755 E Superstition Springs Blvd Ste 101
Mesa, AZ 85206-4375
Phone (480) 807-8022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150916001008 AZ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5092022590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8970COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Superstition Springs Endodontics, LLP Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1356555395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 E SUPERSTITION SPRINGS BLVD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064375",
            "telephone_number": "480-807-8022",
            "fax_number": "480-807-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6755 E SUPERSTITION SPRINGS BLVD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064375",
            "telephone_number": "480-807-8022",
            "fax_number": "480-807-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNEY",
        "first_name": "JASON",
        "middle_name": "PHILIP",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "8970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.