Individual provider Active NPI

Gordon Barnes

  • Dentist
  • Manalapan, NJ
National Provider Identifier
1487899068
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
043430 Issued in NY
Practice address
345 US Highway 9
Suite 367
Manalapan, NJ 07726-3239
Phone
(732) 308-9061
Fax
(732) 308-4361
NPI assigned
Dec 10, 2008
Last updated
Jul 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 043430 NY Primary

Addresses

Primary practice location

345 US Highway 9
Suite 367
Manalapan, NJ 07726-3239

Mailing address

345 US Highway 9
Suite 367
Manalapan, NJ 07726-3239
Phone (732) 308-9061

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

LicenseStateTypeSpecialty
043430NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1487899068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 US HIGHWAY 9",
            "address_2": "SUITE 367",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263239",
            "telephone_number": "732-308-9061",
            "fax_number": "732-308-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 US HIGHWAY 9",
            "address_2": "SUITE 367",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263239",
            "telephone_number": "732-308-9061",
            "fax_number": "732-308-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "GORDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-10",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "043430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.