Individual provider Active NPI

Barton Charles Barre', D.D.S.

  • General Practice Dentistry
  • Harvey, LA
National Provider Identifier
1821167396
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4161 Issued in LA
Practice address
2645 Manhattan Blvd Ste D5
Harvey, LA 70058-3386
Phone
(504) 367-0355
Fax
(504) 229-5203
NPI assigned
Nov 7, 2006
Reactivated
Sep 12, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4161 LA Primary

Addresses

Primary practice location

2645 Manhattan Blvd Ste D5
Harvey, LA 70058-3386

Mailing address

2645 Manhattan Blvd. Blvd
Suite D-5
Harvey, LA 70058-3378
Phone (504) 367-0355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4161LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Barre Dental Care CurrentSince Jul 24, 2022 Accepting new patients
Broussard Family Dentistry General Practice CurrentSince Sep 5, 2023 Accepting new patients

Locations

2645 Manhattan Blvd
Ste D5
Harvey, LA 70058
Phone (504) 367-0355

Organizations & group practices 2

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1821167396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 MANHATTAN BLVD. BLVD",
            "address_2": "SUITE D-5",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700583378",
            "telephone_number": "504-367-0355",
            "fax_number": "504-229-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 MANHATTAN BLVD STE D5",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700583386",
            "telephone_number": "504-367-0355",
            "fax_number": "504-229-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRE'",
        "first_name": "BARTON",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2023-09-12",
        "deactivation_date": "2023-09-07",
        "reactivation_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.