Individual provider Active NPI

Stephen Dow Barath, D.D.S

  • General Practice Dentistry
  • Lake Arrowhead, CA
National Provider Identifier
1760750236
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D26031 Issued in CA
Practice address
28200 Highway 189
Suite 01-250
Lake Arrowhead, CA 92352-0867
Phone
(909) 337-4222
NPI assigned
Dec 12, 2011
Last updated
Dec 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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 D26031 CA Primary

Addresses

Primary practice location

28200 Highway 189
Suite 01-250
Lake Arrowhead, CA 92352-0867

Mailing address

P.O. Box 867
Lake Arrowhead, CA 92352-0867
Phone (909) 337-4222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D26031CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1760750236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 867",
            "city": "LAKE ARROWHEAD",
            "state": "CA",
            "postal_code": "923520867",
            "telephone_number": "909-337-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28200 HIGHWAY 189",
            "address_2": "SUITE 01-250",
            "city": "LAKE ARROWHEAD",
            "state": "CA",
            "postal_code": "923520867",
            "telephone_number": "909-337-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARATH",
        "first_name": "STEPHEN",
        "middle_name": "DOW",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D26031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Arrowhead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.