Individual provider Active NPI

Peter Roy Barnard Jr., D.M.D.

  • General Practice Dentistry
  • Stuart, FL
National Provider Identifier
1750517462
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 18702 Issued in FL
Practice address
821 SE Ocean Blvd
Suite E
Stuart, FL 34994-2456
Phone
(772) 283-4427
NPI assigned
Jun 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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 DN 18702 FL Primary

Addresses

Primary practice location

821 SE Ocean Blvd
Suite E
Stuart, FL 34994-2456

Mailing address

821 SE Ocean Blvd
Suite E
Stuart, FL 34994-2456
Phone (772) 283-4427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240106000316 FL Order and Referring Only - DentistPractitioner - Dentist 3870890049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 18702FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Chase Dental Sleep Care of Stuart LLC General Practice Past Accepting new patients
Peter Barnard DMD, PA Past Accepting new patients

Organizations & group practices 2

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": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1750517462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 SE OCEAN BLVD",
            "address_2": "SUITE E",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942456",
            "telephone_number": "772-283-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 SE OCEAN BLVD",
            "address_2": "SUITE E",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942456",
            "telephone_number": "772-283-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNARD",
        "first_name": "PETER",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 18702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.