Garett Nathaniel Kruse Barry, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

25267 Issued in FL

Practice address

1702 W International Speedway Blvd # 660
Daytona Beach, FL 32114-1304

Phone

(386) 252-9600

NPI assigned

May 4, 2020

Last updated

Jul 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1669093480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 W INTERNATIONAL SPEEDWAY BLVD # 660",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 W INTERNATIONAL SPEEDWAY BLVD # 660",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141304",
            "telephone_number": "386-252-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "GARETT",
        "middle_name": "NATHANIEL KRUSE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "25267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasiim Shakir Barr
• Deloris G Barrett, ARNP
• Shena Blair Barrett, PA-C
• Brenda E Barrows, NP
• Christine Spires Barry, ARNP
• Michelle Barry, APRN
• Susan R Barry
• Beth Ann Bartholomew, MD
• Emily Marie Bartholomew, MA
• Amanda Barton, APRN

• Dentist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.