Active NPI
George Barr
- Denturist
- Centralia, WA
National Provider Identifier
1477910875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- 60542875
- Practice address
- 1218 Harrison Ave
Centralia, WA 98531-1853 - Phone
- (360) 438-8299
- Fax
- (360) 669-5973
- NPI assigned
- Jan 15, 2016
- Last updated
- Nov 27, 2023
- 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 |
|---|---|---|---|---|
| Denturist | 122400000X | 60542875 | WA | Primary |
Addresses
Primary practice location
1218 Harrison Ave
Centralia, WA 98531-1853
Mailing address
1218 Harrison Ave
Centralia, WA 98531-1853
Phone (360) 669-5963
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 |
|---|---|---|---|
| 60542875 | WA | MD | Denturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympic Dental Center, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Lacey, WA
- NPI 1780733204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1477910875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 HARRISON AVE",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985311853",
"telephone_number": "360-669-5963",
"fax_number": "360-669-5973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 HARRISON AVE",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985311853",
"telephone_number": "360-438-8299",
"fax_number": "360-669-5973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARR",
"first_name": "GEORGE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-15",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "WA",
"license": "60542875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.