Individual provider Active NPI

John Tyron Barker, DMD

  • General Practice Dentistry
  • Hudson, NC
National Provider Identifier
1710009261
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4318 Issued in NC
Practice address
636 Main St
Hudson, NC 28638-2545
Phone
(828) 728-4231
Fax
(828) 728-4232
NPI assigned
Apr 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4318 NC Primary

Addresses

Primary practice location

636 Main St
Hudson, NC 28638-2545

Mailing address

636 Main St
Hudson, NC 28638-2545
Phone (828) 728-4231

Other identifiers 1

IdentifierTypeStateIssuer
8990425MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160330001099 NC Order and Referring Only - DentistPractitioner - Dentist 8325345705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4318NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
J. Tyron Barker DMD PA Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710009261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 MAIN ST",
            "city": "HUDSON",
            "state": "NC",
            "postal_code": "286382545",
            "telephone_number": "828-728-4231",
            "fax_number": "828-728-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 MAIN ST",
            "city": "HUDSON",
            "state": "NC",
            "postal_code": "286382545",
            "telephone_number": "828-728-4231",
            "fax_number": "828-728-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "JOHN",
        "middle_name": "TYRON",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990425",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NC

Sources for this page

Verify at the official NPI Registry.