Active NPI
Paul R Barrett, DDS, PA
- Dentist
- Reidsville, NC
National Provider Identifier
1639359599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6955
- Legal business name
- PAUL R BARRETT, DDS, PA
- Practice address
- 1410 Front St
Reidsville, NC 27320-6000 - Phone
- (336) 342-3123
- Fax
- (336) 342-4698
- NPI assigned
- Nov 8, 2007
- Last updated
- Nov 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Barrett, DDS
- Title
- Owner, Dentist
- Phone
- (336) 342-3123
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6955 | NC | Primary |
Addresses
Primary practice location
1410 Front St
Reidsville, NC 27320-6000
Mailing address
1410 Front St
Reidsville, NC 27320-6000
Phone (336) 342-3123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 899012Y | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1410 Front St
Reidsville, NC 27320
Phone (336) 342-3123
Practitioners & affiliated clinicians
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.
-
- General Practice Dentistry
- Reidsville, NC
- NPI 1568492171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194480000000",
"number": "1639359599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 FRONT ST",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273206000",
"telephone_number": "336-342-3123",
"fax_number": "336-342-4698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 FRONT ST",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273206000",
"telephone_number": "336-342-3123",
"fax_number": "336-342-4698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL R BARRETT, DDS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-08",
"last_updated": "2007-11-08",
"status": "A",
"authorized_official_last_name": "BARRETT",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "OWNER, DENTIST",
"authorized_official_telephone_number": "336-342-3123",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "6955",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "899012Y",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reidsville, NC
- Heather Carter Parrish, NP
- James B Parsons, M.D.
- Folashade Ruth Paseda, FNP
- Rutwik Kiritbhai Patel, MD
- William Kyle Patton, DDS
- Pelham Transportation Corporation
- Pelican Health Reidsville LLC (Cypress Valley Center for Nursing and Rehabilitation)
- Rebekah Pennington, PA
- Qua'Shawn Pernell, BSW, MSW, LCSWA
- Peter Grumbos DDS Reidsville PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.