Vivian Barron, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1858001 Issued in MA

Practice address

1096 Revere Beach Pkwy
Chelsea, MA 02150-1454

Phone

(856) 776-7658

NPI assigned

Jun 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 16, 2019 through Sep 16, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Buckner Market Place Dental, P.a.

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1023166220
  NPD (past)

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1659866135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 MASSACHUSETTS AVE APT 605",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 REVERE BEACH PKWY",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021501454",
            "telephone_number": "856-776-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRON",
        "first_name": "VIVIAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1858001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Barenboym, D.P.T.
• Jenessa Barloon
• Kimberly Ann Barnard
• Alexis Barnes, LMHC
• Ireni Barounis
• Clodagh Bartholomew
• Alison Clifford Barton
• Nadia Bassam Bashour Bunn, D.D.S.
• Paola Batti
• Elene Baxter, MA

• General Practice Dentistry in Chelsea, MA
• Providers in Chelsea, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.