Active NPI
Jason Lawrence Barrett, DDS
- General Practice Dentistry
- Mount Airy, NC
National Provider Identifier
1649607946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13166
- Practice address
- 161 Kodiak LN
Mount Airy, NC 27030-5399 - Phone
- (336) 789-1025
- Fax
- (336) 789-1158
- NPI assigned
- Oct 1, 2013
- Last updated
- Jul 11, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 15405 | MD | |
| General Practice Dentistry | 1223G0001X | 13166 | NC | Primary |
Addresses
Primary practice location
161 Kodiak LN
Mount Airy, NC 27030-5399
Mailing address
161 Kodiak LN
Mount Airy, NC 27030-5399
Phone (336) 789-1025
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jason.l.barrett.mil@health.mil | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230720000818 | NC | Order and Referring Only - Dentist | 5698135713 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15405 | MD | MD | Physical Therapist |
| 13166 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason L Barrett DDS PLLC | Current | Accepting new patients | |
| Lane and Associates Xxxix DDS PA | Dentist | Current | Accepting new patients |
Locations
4380 S Syracuse St
Ste 504
Denver, CO 80237
Phone (303) 741-1011
161 Kodiak Ln
Mount Airy, NC 27030
Phone (336) 719-7129
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Denver, CO
- NPI 1386472074
-
- Dentist
- Mount Airy, NC
- NPI 1538776455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1649607946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 KODIAK LN",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270305399",
"telephone_number": "336-789-1025",
"fax_number": "336-789-1158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 KODIAK LN",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270305399",
"telephone_number": "336-789-1025",
"fax_number": "336-789-1158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "JASON",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-01",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "15405",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "13166",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jason.l.barrett.mil@health.mil",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "Naval Medical Readiness and Training Unit - Norfolk",
"address_2": "1647 Admiral Taussig Blvd",
"city": "Norfolk",
"state": "VA",
"country_code": "US",
"postal_code": "23511",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.