Stefanie Shore Barber, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52932 Issued in CA

Practice address

6660 Coyle Ave
Suite 240
Carmichael, CA 95608-6335

Phone

(916) 966-4341

Fax

(916) 966-5344

NPI assigned

Aug 30, 2005

Last updated

Jul 28, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1821081324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6660 COYLE AVE",
            "address_2": "SUITE 240",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086335",
            "telephone_number": "916-966-4341",
            "fax_number": "916-966-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6660 COYLE AVE",
            "address_2": "SUITE 240",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086335",
            "telephone_number": "916-966-4341",
            "fax_number": "916-966-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBER",
        "first_name": "STEFANIE",
        "middle_name": "SHORE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre Barakat, DDS
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• Anthony George Baratta, DC
• Lori Barbaccia
• Catherine Goethals Barbero, ASW
• Athena Barbosa
• Joan Marie Barden
• Kenneth Lloyd Barnes, COTA
• Jennifer Barnett

• General Practice Dentistry in Carmichael, CA
• Providers in Carmichael, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.