Organization Active NPI

Barton H Foutz

  • General Practice Dentistry
  • Henderson, NV
National Provider Identifier
1497439426
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Dr. Barton H Foutz, DDSNPI 1528123890
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20230926001881 NV DME Supplier - Oral Surgery - Dentist 7113371063 Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.