Timothy Michael Barry, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13294 Issued in MO

Practice address

411 Nichols Rd
Suite 241
Kansas City, MO 64112-2000

Phone

(816) 561-2800

Fax

(816) 561-4574

NPI assigned

Jun 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Charles F. Breusing, D.D.S.,PC

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1285808840
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1831134089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 NICHOLS RD",
            "address_2": "SUITE 241",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641122000",
            "telephone_number": "816-561-2800",
            "fax_number": "816-561-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 NICHOLS RD",
            "address_2": "SUITE 241",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641122000",
            "telephone_number": "816-561-2800",
            "fax_number": "816-561-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "13294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08375015",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TMB9291953",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry Road Chiropractic Inc.
• Barry Village Family Dental LLC
• Dana Barry, RN, MSN, CPNP
• Hannah Barry, CCC-SLP
• Kathryn Barry
• Jessica Nicole Barszczak
• Kayla J Barta, RN, BC, ANP
• Chad J Barth, DDS
• Charles W Barth III, MD
• Francis Xavier Barth, D.O.

• General Practice Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.