Individual provider Active NPI

Antonino Barbaro, DDS

  • Dentist
  • Gambrills, MD
National Provider Identifier
1851633416
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
MD11133 Issued in MD
Practice address
1071 MD RT 3 N
Suite 201
Gambrills, MD 21054-1784
Phone
(410) 721-8777
NPI assigned
Mar 21, 2013
Last updated
Mar 21, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X MD11133 MD Primary

Addresses

Primary practice location

1071 MD RT 3 N
Suite 201
Gambrills, MD 21054-1784

Mailing address

1071 MD Rte. 3 North
Suite 201
Gambrills, MD 21054
Phone (410) 721-8777

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20180320000178 MD Order and Referring Only - DentistPractitioner - Dentist 0143582742

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11133MDMDClinical Social Worker
MD11133MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Delicate Dental of Maryland, P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1851633416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 MD RTE. 3 NORTH",
            "address_2": "SUITE 201",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "21054",
            "telephone_number": "410-721-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 MD RT 3 N",
            "address_2": "SUITE 201",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541784",
            "telephone_number": "410-721-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBARO",
        "first_name": "ANTONINO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "MD11133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gambrills, MD

Sources for this page

Verify at the official NPI Registry.