Active NPI
Jon a. Barnes, DDS, PLLC
- Dental Clinic/Center
- Mustang, OK
National Provider Identifier
1396237657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 6578
- Legal business name
- JON A. BARNES, DDS, PLLC
- Practice address
- 201 S Sara Rd Ste 140
Mustang, OK 73064-4306 - Phone
- (580) 704-2070
- NPI assigned
- Jun 3, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jon Barnes, DDS
- Title
- Member
- Phone
- (580) 704-2070
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 6578 | OK | Primary |
Addresses
Primary practice location
201 S Sara Rd Ste 140
Mustang, OK 73064-4306
Mailing address
613 Christian Lane
Yukon, OK 73099
Phone (580) 704-2070
Other names 1
- Buffalo Creek Dental
National Provider Directory
National Provider DirectoryLocations
201 S Sara Rd
Ste 140
Mustang, OK 73064
Phone (405) 259-6339
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Mustang, OK
- NPI 1912310681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1527984000000",
"number": "1396237657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 CHRISTIAN LANE",
"city": "YUKON",
"state": "OK",
"postal_code": "73099",
"telephone_number": "580-704-2070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S SARA RD STE 140",
"city": "MUSTANG",
"state": "OK",
"postal_code": "730644306",
"telephone_number": "580-704-2070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JON A. BARNES, DDS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-03",
"last_updated": "2018-06-03",
"status": "A",
"authorized_official_last_name": "BARNES",
"authorized_official_first_name": "JON",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "580-704-2070",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "OK",
"license": "6578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Buffalo Creek Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mustang, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.