Organization Active NPI

Michael a Barry DMD PC

  • Dentist
  • Johnston, RI
National Provider Identifier
1811216617
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN2150 Issued in RI
Legal business name
MICHAEL A BARRY DMD PC
Practice address
1524 Atwood Ave
Ste 438
Johnston, RI 02919-3256
Phone
(401) 273-4411
Fax
(401) 453-5290
NPI assigned
May 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Dr. Michael Allen Barry, DMDNPI 1871537910
Title
Dentist/Owner
Phone
(401) 273-4411

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
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DEN2150 RI Primary

Addresses

Primary practice location

1524 Atwood Ave
Ste 438
Johnston, RI 02919-3256

Mailing address

1524 Atwood Ave
Ste 438
Johnston, RI 02919-3256
Phone (401) 273-4411

Other identifiers 1

IdentifierTypeStateIssuer
MB00018MedicaidRI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1811216617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE",
            "address_2": "STE 438",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193256",
            "telephone_number": "401-273-4411",
            "fax_number": "401-453-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE",
            "address_2": "STE 438",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193256",
            "telephone_number": "401-273-4411",
            "fax_number": "401-453-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A BARRY DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "401-273-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "RI",
            "license": "DEN2150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MB00018",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.