Melissa Dee Anderson-Barnes, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 12120 Issued in FL

Practice address

110 Suwannee Ave SW
Branford, FL 32008-2749

Phone

(386) 935-0988

Fax

(386) 935-0989

NPI assigned

Mar 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dan Terry Barnes DMD and Melissa Anderson-Barnes DMD PA

  • General Practice Dentistry
  • Branford, FL
  • NPI 1679602924
  NPD (past)
• Melanie L Kemmerer, DMD, PLLC

  • Dental Clinic/Center
  • Branford, FL
  • NPI 1780972711
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780714162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 930",
            "address_2": "110 SW SUWANNEE AVENUE",
            "city": "BRANFORD",
            "state": "FL",
            "postal_code": "320080930",
            "telephone_number": "386-935-0988",
            "fax_number": "386-935-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SUWANNEE AVE SW",
            "city": "BRANFORD",
            "state": "FL",
            "postal_code": "320082749",
            "telephone_number": "386-935-0988",
            "fax_number": "386-935-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON-BARNES",
        "first_name": "MELISSA",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 12120",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "DN 1039",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD 1039",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ajm Transport Company LLC
• Dan Terry Barnes Jr., D.M.D.
• Bienvenido M. Samera, M.D., P.a.
• La-Sheria Lamarra Bradley, APRN
• Branford Family Medical Center Inc
• Lillian Prine Byrd, APRN

• General Practice Dentistry in Branford, FL
• Providers in Branford, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.