Kellie E Barnes DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

3678 Issued in AR

Legal business name

KELLIE E BARNES DDS PLLC

Practice address

2646 E Joyce Blvd Ste 1
Fayetteville, AR 72703-4435

Phone

(479) 443-8009

Fax

(479) 443-4450

NPI assigned

Sep 22, 2009

Last updated

Sep 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kellie Elizabeth Barnes, DDSNPI 1598758591

Title

Owner

Phone

(479) 871-3801

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kellie Elizabeth Barnes, DDS

  • Dentist
  • Fayetteville, AR
  • NPI 1598758591
  NPD (past) Authorized official
• Clarence W. Dill III, DDS

  • General Practice Dentistry
  • Fayetteville, AR
  • NPI 1689687014
  NPD (past)

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1558695601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 E JOYCE BLVD STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034435",
            "telephone_number": "479-443-8009",
            "fax_number": "479-443-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 E JOYCE BLVD STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034435",
            "telephone_number": "479-443-8009",
            "fax_number": "479-443-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLIE E BARNES DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-871-3801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "3678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Scott Keller, PA-C
• Adam Kelley
• John-Scott B Kelley, MS, LAC
• Melanie Kelley, RN
• Ross Eugene Kelley, M.S. LPC
• Natasha Victoria Kellogg, DNP, APRN, FNP-BC
• Allicia K Kelly, O.D.
• Maryalice Kelly, APN
• Randi Kelly, AAS, QBHP
• Sierra August Kelly

• Dental Clinic/Center in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Dental Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.