Organization Active NPI

Brandon H Barton Jr DDS PC

  • Dentist
  • Detroit, MI
National Provider Identifier
1801214606
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901012631 Issued in MI
Legal business name
BRANDON H BARTON JR DDS PC
Practice address
11200 E McNichols Rd
Detroit, MI 48234-3929
Phone
(313) 521-6400
Fax
(313) 521-4710
NPI assigned
Mar 31, 2014
Last updated
Mar 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Authorized official

Name
Dr. Brandon Harris Barton Jr.NPI 1407929748
Title
President
Phone
(313) 521-6400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901012631 MI Primary

Addresses

Primary practice location

11200 E McNichols Rd
Detroit, MI 48234-3929

Mailing address

11200 E McNichols Rd
Detroit, MI 48234-3929
Phone (313) 521-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151210001477 MI Part B Supplier - Clinic/Group Practice 7618278938 Receives reassigned benefits from 1 practitioner
Practice locations: Detroit, MI

National Provider Directory

National Provider Directory

Locations

11200 E McNichols Rd
Detroit, MI 48234
Phone (313) 521-6400

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1801214606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 E MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343929",
            "telephone_number": "313-521-6400",
            "fax_number": "313-521-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 E MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343929",
            "telephone_number": "313-521-6400",
            "fax_number": "313-521-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON H BARTON JR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-521-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901012631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.