Barry Robert Matheson, D.D.S., M.S.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

0401006603 Issued in VA

Practice address

817 Gate City Highway
Bristol, VA 24201

Phone

(276) 669-1231

Fax

(276) 466-6872

NPI assigned

Apr 19, 2007

Last updated

Aug 1, 2007By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Barry R. Matheson, DDS, MSD PC

  • Periodontics
  • Bristol, VA
  • NPI 1346467511
  Authorized official Same address or phone

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1639396989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 GATE CITY HIGHWAY",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "24201",
            "telephone_number": "276-669-1231",
            "fax_number": "276-466-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 GATE CITY HIGHWAY",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "24201",
            "telephone_number": "276-669-1231",
            "fax_number": "276-466-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHESON",
        "first_name": "BARRY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0401006603",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TN",
            "license": "DS0000005057",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "14875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lutheran Family Service of VA
• LW Pharmaceuticals Inc (Life Well Pharmacy)
• Lee F Lykins III, D.D.S.
• Jonathan D Mason, RCPRS
• Ray McClellan Massengill III
• Briana Leigh Maxfield
• Alex L McClintic, D.O.
• Andrea Annette McClintic, D.O.
• Kayla Lynn McFaddin-Dye, PHARMD
• Timothy G McGarry, MD

• Periodontics in Bristol, VA
• Providers in Bristol, VA by specialty
• Periodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.