Individual provider Active NPI

Craig Kent Barney, D.M.D.

  • Dentist
  • Deland, FL
National Provider Identifier
1538239306
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN30196 Issued in FL
Practice address
111 S Dexter Ave
Deland, FL 32720-5111
Phone
(386) 734-0482
Fax
(509) 374-2737
NPI assigned
Nov 9, 2006
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00010238 WA
Dentist 122300000X DN30196 FL Primary

Addresses

Primary practice location

111 S Dexter Ave
Deland, FL 32720-5111

Mailing address

111 S Dexter Ave
Deland, FL 32720-5111
Phone (386) 734-0482

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150513002656 WA Order and Referring Only - Other (Non-Physician) 7315267481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN30196FLMDDentist
DE00010238WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Deep Sleep Dental Solutions, LLC General Practice CurrentSince Sep 21, 2025 Accepting new patients
Madder, Barney, DMD, PLLC General Practice Past Accepting new patients

Locations

111 S Dexter Ave
Deland, FL 32720
Phone (386) 734-0482

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1538239306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S DEXTER AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327205111",
            "telephone_number": "386-734-0482",
            "fax_number": "509-374-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S DEXTER AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327205111",
            "telephone_number": "386-734-0482",
            "fax_number": "509-374-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNEY",
        "first_name": "CRAIG",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010238",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN30196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.