Individual provider Active NPI

Antal B. Barbela, DMD

  • General Practice Dentistry
  • Jacksonville, FL
National Provider Identifier
1508247313
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 21311 Issued in FL
Practice address
620 Commerce Center Dr Unit 155
Jacksonville, FL 32225-8803
Phone
(904) 483-3022
NPI assigned
Jun 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN 21311 FL Primary

Addresses

Primary practice location

620 Commerce Center Dr Unit 155
Jacksonville, FL 32225-8803

Mailing address

620 Commerce Center Dr Unit 155
Jacksonville, FL 32225-8803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150707001160 FL Order and Referring Only - DentistPractitioner - Dentist 6800108796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 21311FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1508247313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 COMMERCE CENTER DR UNIT 155",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 COMMERCE CENTER DR UNIT 155",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258803",
            "telephone_number": "904-483-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBELA",
        "first_name": "ANTAL",
        "middle_name": "B.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 21311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.