Active NPI
Barton H Foutz
- General Practice Dentistry
- Henderson, NV
National Provider Identifier
1497439426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- BARTON H FOUTZ
- Practice address
- 2510 Wigwam Pkwy Ste 100
Henderson, NV 89074-7115 - Phone
- (702) 792-5929
- Fax
- (702) 792-2850
- NPI assigned
- Jun 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Barton H Foutz, DDS
- Title
- Owner
- Phone
- (702) 792-5929
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
2510 Wigwam Pkwy Ste 100
Henderson, NV 89074-7115
Mailing address
2510 Wigwam Pkwy Ste 100
Henderson, NV 89074-7115
Phone (702) 792-5929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230926001881 | NV | DME Supplier - Oral Surgery - Dentist | 7113371063 | Practice locations: Henderson, NV |
National Provider Directory
National Provider DirectoryLocations
2510 Wigwam Pkwy
Ste 100
Henderson, NV 89074
Phone (702) 792-5929
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Henderson, NV
- NPI 1528123890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689552000000",
"number": "1497439426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 WIGWAM PKWY STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747115",
"telephone_number": "702-792-5929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 WIGWAM PKWY STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747115",
"telephone_number": "702-792-5929",
"fax_number": "702-792-2850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARTON H FOUTZ",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-12",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A",
"authorized_official_last_name": "FOUTZ",
"authorized_official_first_name": "BARTON",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-792-5929",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.