Individual provider Active NPI

Brandon H Barton Jr., D.D.S.

  • General Practice Dentistry
  • Detroit, MI
National Provider Identifier
1407929748
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12631 Issued in MI
Practice address
11200 E McNichols Rd
Detroit, MI 48234-3929
Phone
(313) 521-6400
Fax
(313) 521-4710
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12631 MI Primary

Addresses

Primary practice location

11200 E McNichols Rd
Detroit, MI 48234-3929

Mailing address

11200 E McNichols Rd
Detroit, MI 48234-3929
Phone (313) 521-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20151210001829 MI Practitioner - Oral Surgery 8527369842 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12631MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Just Right Smiles LLC CurrentSince Feb 9, 2020 Accepting new patients
Brandon H Barton Jr DDS PC CurrentSince Oct 5, 2015 Accepting new patients

Locations

11200 E McNichols Rd
Detroit, MI 48234
Phone (313) 521-6400

Organizations & group practices 2

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1407929748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 E MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343929",
            "telephone_number": "313-521-6400",
            "fax_number": "313-521-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 E MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343929",
            "telephone_number": "313-521-6400",
            "fax_number": "313-521-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTON",
        "first_name": "BRANDON",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "12631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.