Individual provider Active NPI

Barry R. Schwartz, D.D.S.

  • General Practice Dentistry
  • Prairie Village, KS
National Provider Identifier
1609939354
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5819 Issued in KS
Practice address
8012 State Line Rd
Suite 101
Prairie Village, KS 66208-3710
Phone
(913) 648-7969
Fax
(913) 648-7970
NPI assigned
Dec 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5819 KS Primary
General Practice Dentistry 1223G0001X 011369 MO
General Practice Dentistry 1223G0001X DN6131 FL

Addresses

Primary practice location

8012 State Line Rd
Suite 101
Prairie Village, KS 66208-3710

Mailing address

8012 State Line Rd
Suite 101
Prairie Village, KS 66208-3710
Phone (913) 648-7969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN6131FLMDGeneral Practice Dentistry
011369MOMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1166313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609939354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8012 STATE LINE RD",
            "address_2": "SUITE 101",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083710",
            "telephone_number": "913-648-7969",
            "fax_number": "913-648-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8012 STATE LINE RD",
            "address_2": "SUITE 101",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083710",
            "telephone_number": "913-648-7969",
            "fax_number": "913-648-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "BARRY",
        "middle_name": "R.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "5819",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "011369",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN6131",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.