Individual provider Active NPI

Sandra Barlow-Doonquah, DDS

  • Dentist
  • Reidsville, NC
National Provider Identifier
1457435158
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8284 Issued in NC
Practice address
2509 Richardson Dr
Suite B
Reidsville, NC 27320-5900
Phone
(336) 394-4191
Fax
(336) 394-4191
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 8804 NC
Dentist 122300000X 8284 NC Primary

Addresses

Primary practice location

2509 Richardson Dr
Suite B
Reidsville, NC 27320-5900

Mailing address

306 Lakewalk Dr
Reidsville, NC 27320-9608
Phone (336) 394-4191

Other identifiers 2

IdentifierTypeStateIssuer
8284OtherNCDENTAL LICENSE
89902H6MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180503001836 NC Order and Referring Only - DentistPractitioner - Dentist 4587928239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8804NCMDGeneral Practice Dentistry
8284NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sandra Barlow Doonquah, DDS, PLLC Dentist Past Accepting new patients

Organizations & group practices 1

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1457435158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 LAKEWALK DR",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273209608",
            "telephone_number": "336-394-4191",
            "fax_number": "336-394-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 RICHARDSON DR",
            "address_2": "SUITE B",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205900",
            "telephone_number": "336-394-4191",
            "fax_number": "336-394-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARLOW-DOONQUAH",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NC",
            "license": "8804",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "8284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "8284",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902H6",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

Verify at the official NPI Registry.