Barnes Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7513 Issued in OR

Legal business name

BARNES DENTAL LLC

Practice address

7325 SW Barnes Rd
Barnes Dental LLC
Portland, OR 97225

Phone

(503) 297-8866

Fax

(503) 384-9366

NPI assigned

May 12, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Angie T Sobalvarro

Title

Office Manager

Phone

(503) 297-8866

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aleriza J Shamsipour-Azbari, DDS

  • General Practice Dentistry
  • Portland, OR
  • NPI 1962412049
  NPD (past)

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1396912010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 SW BARNES RD",
            "address_2": "BARNES DENTAL LLC",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97225",
            "telephone_number": "503-297-8866",
            "fax_number": "503-384-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 SW BARNES RD",
            "address_2": "BARNES DENTAL LLC",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97225",
            "telephone_number": "503-297-8866",
            "fax_number": "503-384-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNES DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "SOBALVARRO",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-297-8866",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158908",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amie Rose Barnard
• Breanna Barnard
• Cassie Barnard, MS
• Jennifer Barnard, M.D.
• Marcos Fabian Barnatan, MD
• Barnes Elite Eye Care
• Barnes Elite Eye Care, P.C.
• Abigail Jane Barnes
• Aimee Lynn Barnes, L.M.T.
• Amy Barnes, BS

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.