Organization Active NPI

Kenneth King Barton, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Port Arthur, TX
National Provider Identifier
1457624173
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
10494 Issued in TX
Legal business name
KENNETH KING BARTON, DDS
Practice address
2770 Aero Dr Ste 2
Port Arthur, TX 77640-1519
Phone
(409) 729-0300
Fax
(409) 729-0300
NPI assigned
Feb 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
Dr. Kenneth King Barton, DDSNPI 1376551556
Title
Owner
Phone
(409) 729-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 10494 TX Primary

Addresses

Primary practice location

2770 Aero Dr Ste 2
Port Arthur, TX 77640-1519

Mailing address

2770 Aero Dr Ste 2
Port Arthur, TX 77640-1519
Phone (409) 729-0300

Other identifiers 1

IdentifierTypeStateIssuer
1108631MedicaidTX

National Provider Directory

National Provider Directory

Locations

2770 Aero Dr
Ste 2
Port Arthur, TX 77640
Phone (409) 729-0300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1457624173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 AERO DR STE 2",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776401519",
            "telephone_number": "409-729-0300",
            "fax_number": "409-729-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 AERO DR STE 2",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776401519",
            "telephone_number": "409-729-0300",
            "fax_number": "409-729-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH KING BARTON, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "KING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-729-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "10494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1108631",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.