Active NPI
Kerri Barberio, DDS
- Dentist
- Greeley, CO
National Provider Identifier
1720475346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 202535
- Practice address
- 100 N 11TH Ave
Greeley, CO 80631-2011 - Phone
- (970) 313-0353
- Fax
- (970) 351-7075
- NPI assigned
- Apr 21, 2015
- Last updated
- Dec 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 202535 | CO | Primary |
Addresses
Primary practice location
100 N 11TH Ave
Greeley, CO 80631-2011
Mailing address
2930 11TH Ave
Evans, CO 80620-1011
Phone (970) 350-4606
Other practice location 1
1400 37th St
Evans, CO 80620-1906
Phone (970) 348-1112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83958096 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 |
|---|---|---|---|---|
| I20200624000318 | MI | Order and Referring Only - Dentist | 6800102419 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202535 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545782400000",
"number": "1720475346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2930 11TH AVE",
"city": "EVANS",
"state": "CO",
"postal_code": "806201011",
"telephone_number": "970-350-4606",
"fax_number": "970-350-4645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N 11TH AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806312011",
"telephone_number": "970-313-0353",
"fax_number": "970-351-7075"
}
],
"practiceLocations": [
{
"address_1": "1400 37th St",
"address_purpose": "LOCATION",
"city": "Evans",
"state": "CO",
"postal_code": "806201906",
"country_code": "US",
"telephone_number": "970-348-1112",
"fax_number": "970-348-1134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARBERIO",
"first_name": "KERRI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-21",
"last_updated": "2018-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "202535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "83958096",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.