Dr. Jerry Barnes

Primary specialty

DentistTaxonomy code 122300000X

License

6301 Issued in MN

Legal business name

DR. JERRY BARNES

Practice address

1871 Old Hudson Rd
Saint Paul, MN 55119-4308

Phone

(651) 738-0900

Fax

(651) 738-0902

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Jerry E Barnes, D.D.S

Title

Owner

Phone

(651) 738-0900

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trent M Anderson, DDS

  • General Practice Dentistry
  • Hastings, MN
  • NPI 1770707614
  NPD (past)
• Cassandra Bullard, DDS

  • Dentist
  • Saint Paul, MN
  • NPI 1841964442
  NPD (past)
• Abhijeet Rajpurohit

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1649078080
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740402932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 OLD HUDSON RD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194308",
            "telephone_number": "651-738-0900",
            "fax_number": "651-738-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 OLD HUDSON RD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194308",
            "telephone_number": "651-738-0900",
            "fax_number": "651-738-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JERRY BARNES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-738-0900",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "6301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.