Nicole Towana Barbour, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401411682 Issued in VA

Practice address

719 N 25TH St
Richmond, VA 23223-6539

Phone

(804) 780-0840

Fax

(804) 253-1998

NPI assigned

Dec 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1780743591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 N 25TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232236539",
            "telephone_number": "804-780-0840",
            "fax_number": "804-253-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N 25TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232236539",
            "telephone_number": "804-780-0840",
            "fax_number": "804-253-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBOUR",
        "first_name": "NICOLE",
        "middle_name": "TOWANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9198924",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Bennett Barber, MA, BCBA, LBA
• Kellie Barber
• Robin Barber, MS OTR/L
• Steven John Barbieri, DDS
• Marjorie Pace Barbour, LCSW
• Steven M. Bard, LCSW
• Kristen Salustro Bardaro, NURSE PRACTITIONER
• Charles Edward Bardawil, MD
• Jessica Bardenheier, MS, LPC
• Collin Philip Bardwell

• General Practice Dentistry in Richmond, VA
• Providers in Richmond, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.