Active NPI
Nicholas Barth, D.D.S.
- Dentist
- Blountstown, FL
National Provider Identifier
1396090320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN 19827
- Practice address
- 19606 Sr 20 W
Blountstown, FL 32424-3916 - Phone
- (850) 674-5502
- Fax
- (850) 674-9790
- NPI assigned
- Jul 16, 2012
- Last updated
- Jan 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN 19827 | FL | Primary |
Addresses
Primary practice location
19606 Sr 20 W
Blountstown, FL 32424-3916
Mailing address
19606 Sr 20 W
Blountstown, FL 32424-3916
Phone (850) 674-5502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN 19827 | Other | FL | STATE OF FLORIDA MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150709002656 | FL | Order and Referring Only - Oral Surgery | 0345552980 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 19827 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Layne & Barth Family Dentistry, PA | 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.
-
- General Practice Dentistry
- Blountstown, FL
- NPI 1326360397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452729600000",
"number": "1396090320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19606 SR 20 W",
"city": "BLOUNTSTOWN",
"state": "FL",
"postal_code": "324243916",
"telephone_number": "850-674-5502",
"fax_number": "850-674-9790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19606 SR 20 W",
"city": "BLOUNTSTOWN",
"state": "FL",
"postal_code": "324243916",
"telephone_number": "850-674-5502",
"fax_number": "850-674-9790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTH",
"first_name": "NICHOLAS",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-16",
"last_updated": "2016-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN 19827",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FLORIDA MEDICAL LICENSE",
"identifier": "DN 19827",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blountstown, FL
- Shani D Ashcroft
- Carson Baggett
- Jared Shelby Barber, MD
- John Jones Barfield, MSW
- Nan Melvin Barfield, OT/L
- Chauncey L Belser, PT
- Bittern Emergency Physicians, LLC
- Blountstown Drug Inc.
- Blountstown FL Operator LLC (Blountstown Health and Rehabilitation Center)
- Blountstown Health & Rehabilitation Center, LLC (Blountstown Health & Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.