Organization Active NPI

Barry Lee Booth, D.M.D., P.C.

  • Dentist
  • Spanish Fort, AL
National Provider Identifier
1467545111
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BARRY LEE BOOTH, D.M.D., P.C.
Practice address
6525 Spanish Fort Blvd
Spanish Fort, AL 36527
Phone
(251) 626-3211
Fax
(251) 625-0211
NPI assigned
Oct 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Barry Lee Booth, D.M.D.NPI 1033284948
Title
President
Phone
(251) 626-3211

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

6525 Spanish Fort Blvd
Spanish Fort, AL 36527

Mailing address

PO Box 7406
Spanish Fort, AL 36577-7406
Phone (251) 626-3211

National Provider Directory

National Provider Directory

Locations

6525 Spanish Fort Blvd
Spanish Fort, AL 36527
Phone (251) 626-3211

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467545111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7406",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365777406",
            "telephone_number": "251-626-3211",
            "fax_number": "251-625-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 SPANISH FORT BLVD",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "36527",
            "telephone_number": "251-626-3211",
            "fax_number": "251-625-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY LEE BOOTH, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-626-3211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fort, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.