Individual provider Active NPI

David Jay Barton, DDS

  • Dentist
  • Crossett, AR
National Provider Identifier
1376863035
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3932 Issued in AR
Practice address
100 Cherrywood LN
Crossett, AR 71635-3920
Phone
(870) 364-6577
Fax
(870) 364-4235
NPI assigned
Jun 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6051 LA
General Practice Dentistry 1223G0001X 6051 LA
Dentist 122300000X 3932 AR Primary
General Practice Dentistry 1223G0001X 3932 AR

Addresses

Primary practice location

100 Cherrywood LN
Crossett, AR 71635-3920

Mailing address

100 Cherrywood LN
Crossett, AR 71635-3920
Phone (870) 364-6577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 18, 2016 through May 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6051LAMDClinical Social Worker
3932ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
David J Barton DDS PA General Practice Current Accepting new patients

Locations

100 Cherrywood Ln
Crossett, AR 71635
Phone (870) 364-6577

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": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1376863035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHERRYWOOD LN",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716353920",
            "telephone_number": "870-364-6577",
            "fax_number": "870-364-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHERRYWOOD LN",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716353920",
            "telephone_number": "870-364-6577",
            "fax_number": "870-364-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTON",
        "first_name": "DAVID",
        "middle_name": "JAY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-04",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6051",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6051",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "3932",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3932",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossett, AR

Sources for this page

Verify at the official NPI Registry.