Barry L Porten, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

21565L Issued in PA

Practice address

10890 Bustleton Ave
205
Philadelphia, PA 19116-3313

Phone

(215) 698-6622

Fax

(215) 698-6655

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1730197880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10890 BUSTLETON AVE",
            "address_2": "205",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163313",
            "telephone_number": "215-698-6622",
            "fax_number": "215-698-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10890 BUSTLETON AVE",
            "address_2": "205",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163313",
            "telephone_number": "215-698-6622",
            "fax_number": "215-698-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTEN",
        "first_name": "BARRY",
        "middle_name": "L",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "21565L",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "21565L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Periodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.