Active NPI
Jerald Lewis Barnett, D.D.S.
- General Practice Dentistry
- Sheppard Air Force Base, TX
National Provider Identifier
1457689697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11050
- Practice address
- 149 Hart Street
Sheppard Air Force Base Building 1200, Dental Clinic
Sheppard Air Force Base, TX 76311-3478 - Phone
- (940) 676-2006
- NPI assigned
- Nov 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11050 | TX | Primary |
Addresses
Primary practice location
149 Hart Street
Sheppard Air Force Base Building 1200, Dental Clinic
Sheppard Air Force Base, TX 76311-3478
Mailing address
5127 Edgecliff Drive
Wichita Falls, TX 76302-4815
Phone (940) 781-9268
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11050 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259539200000",
"number": "1457689697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5127 EDGECLIFF DRIVE",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763024815",
"telephone_number": "940-781-9268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 HART STREET",
"address_2": "SHEPPARD AIR FORCE BASE BUILDING 1200, DENTAL CLINIC",
"city": "SHEPPARD AIR FORCE BASE",
"state": "TX",
"postal_code": "763113478",
"telephone_number": "940-676-2006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNETT",
"first_name": "JERALD",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-30",
"last_updated": "2009-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "11050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheppard Air Force Base, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.