Joseph P Barry, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-017115 Issued in IL

Practice address

685 Graceland Ave
Des Plaines, IL 60016-4518

Phone

(847) 824-3536

Fax

(847) 824-2783

NPI assigned

Sep 21, 2005

Last updated

Mar 14, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 8, 2016 through Feb 8, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Graceland Prairie Dental

  • General Practice Dentistry
  • Des Plaines, IL
  • NPI 1134494727
  NPD (past) Authorized official

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1598751950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 GRACELAND AVE",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164518",
            "telephone_number": "847-824-3536",
            "fax_number": "847-824-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 GRACELAND AVE",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164518",
            "telephone_number": "847-824-3536",
            "fax_number": "847-824-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "JOSEPH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-017115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Bannon, OTR/L
• Janet Barczyk, M.D.
• Barijuve Surgical LLC
• Melissa Ann Barin, M.S.
• Terrence William Barrett, LCPC
• Nancy Basuel
• Micaela Bates, LCSW
• Chad Michael Bauer, AUD
• Bridget Bauersfeld, LCSW-C
• Amy L Baur, LCSW

• General Practice Dentistry in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.