Organization Active NPI

Paul R Barrett, DDS, PA

  • Dentist
  • Reidsville, NC
National Provider Identifier
1639359599
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6955 Issued in NC
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Paul Barrett, DDSNPI 1568492171
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
899012YMedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.