Derek C Barnes DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7104 Issued in NC

Legal business name

DEREK C BARNES DMD PA

Practice address

1422 Orchard Lake Dr # a
Charlotte, NC 28270-1474

Phone

(704) 849-6700

Fax

(704) 849-6874

NPI assigned

May 17, 2007

Last updated

Aug 22, 2020By 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. Derek C Barnes, D.M.DNPI 1013923150

Title

Doctor

Phone

(704) 849-6700

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Derek C Barnes, D.M.D, P.A,

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1013923150
  NPD (past) Authorized official

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578770624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 ORCHARD LAKE DR # A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701474",
            "telephone_number": "704-849-6700",
            "fax_number": "704-849-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 ORCHARD LAKE DR # A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701474",
            "telephone_number": "704-849-6700",
            "fax_number": "704-849-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK C BARNES DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "704-849-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902T0",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymond Denton, CRNA
• Gretchen Marie Depalma, CNS
• Perry J Depietro, D.O.
• Michelle Deprey, PT
• Depth Psychological Services
• Kim H Derhodes, RPH
• Derive Health, PA
• Artem Derkachev
• Chelsea R Dermady
• Dermatologic Surgery of the Carolinas LLC

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.