Individual provider Active NPI

Daniel Lawrence Barrett, D.M.D

  • Dentist
  • Reno, NV
National Provider Identifier
1396025540
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6309 Issued in NV
Practice address
1601 Lakeside Dr
Reno, NV 89509-3464
Phone
(775) 329-1855
Fax
(775) 324-4110
NPI assigned
Aug 19, 2011
Last updated
Sep 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6309 NV Primary
General Practice Dentistry 1223G0001X 61313 CA

Addresses

Primary practice location

1601 Lakeside Dr
Reno, NV 89509-3464

Mailing address

1601 Lakeside Dr
Reno, NV 89509
Phone (775) 329-1855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20160805001837 NV Order and Referring Only - DentistPractitioner - Dentist 6608160114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6309NVMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1396025540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 LAKESIDE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89509",
            "telephone_number": "775-329-1855",
            "fax_number": "775-324-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 LAKESIDE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093464",
            "telephone_number": "775-329-1855",
            "fax_number": "775-324-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "DANIEL",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-19",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6309",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61313",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.