Individual provider Active NPI

Eileen Kimberly Barfuss, D.D.S.

  • General Practice Dentistry
  • Fort Washington, MD
National Provider Identifier
1790092872
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS041398 Issued in PA
Practice address
10905 Fort Washington Rd
Suite 207
Ft Washington, MD 20744-5843
Phone
(301) 292-6807
Fax
(301) 292-6860
NPI assigned
Sep 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14516 MD
General Practice Dentistry 1223G0001X DS041398 PA Primary

Addresses

Primary practice location

10905 Fort Washington Rd
Suite 207
Ft Washington, MD 20744-5843

Mailing address

409 Oldershaw Ave
Moorestown, NJ 08057-3107
Phone (240) 899-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20171201000193 PA Order and Referring Only - DentistPractitioner - Dentist 0941521272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14516MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rajinder S. Bhullar DDS,PA Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1790092872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 OLDERSHAW AVE",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573107",
            "telephone_number": "240-899-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10905 FORT WASHINGTON RD",
            "address_2": "SUITE 207",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207445843",
            "telephone_number": "301-292-6807",
            "fax_number": "301-292-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARFUSS",
        "first_name": "EILEEN",
        "middle_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14516",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

Verify at the official NPI Registry.