John David Barrett, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5050 Issued in WA

Practice address

131 Randolph Street
Port Hadlock, WA 98339

Phone

(360) 385-1000

Fax

(360) 385-0899

NPI assigned

Oct 17, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 19, 2014 through Dec 19, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dentistry Northwest

  • General Practice Dentistry
  • Port Hadlock, WA
  • NPI 1083834675
  NPD (past) Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1407937501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "PORT HADLOCK",
            "state": "WA",
            "postal_code": "983390428",
            "telephone_number": "360-385-1000",
            "fax_number": "360-385-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 RANDOLPH STREET",
            "city": "PORT HADLOCK",
            "state": "WA",
            "postal_code": "98339",
            "telephone_number": "360-385-1000",
            "fax_number": "360-385-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5534904",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 1918 Winter Street Operating Co LLC (QFC Pharmacy #0870)
• Neil David Aho
• Conner Wesley Ames, DMD
• Jeanne Battenburg, N.P.
• Bayside Housing & Services
• Lisa Madelle Bottomley, LMHC
• Catherine Bradley
• Mary Ellen Breckel, DPT

• General Practice Dentistry in Port Hadlock, WA
• Providers in Port Hadlock, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.