Individual provider Active NPI

Gary Allen Barker, DDS

  • General Practice Dentistry
  • Cadiz, OH
National Provider Identifier
1427068469
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-01-5723 Issued in OH
Practice address
347 W Spring St
Cadiz, OH 43907-1045
Phone
(740) 942-3311
Fax
(740) 942-2284
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 30-01-5723 OH Primary

Addresses

Primary practice location

347 W Spring St
Cadiz, OH 43907-1045

Mailing address

347 W Spring St
P.O. Box 292
Cadiz, OH 43907-1045
Phone (740) 942-3311

Other identifiers 2

IdentifierTypeStateIssuer
0372494MedicaidOH
30-01-5723OtherOHOHIO DENTAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1427068469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 W SPRING ST",
            "address_2": "P.O. BOX 292",
            "city": "CADIZ",
            "state": "OH",
            "postal_code": "439071045",
            "telephone_number": "740-942-3311",
            "fax_number": "740-942-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 W SPRING ST",
            "city": "CADIZ",
            "state": "OH",
            "postal_code": "439071045",
            "telephone_number": "740-942-3311",
            "fax_number": "740-942-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "GARY",
        "middle_name": "ALLEN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-01-5723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0372494",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DENTAL LICENSE",
            "identifier": "30-01-5723",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadiz, OH

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.