Individual provider Active NPI

Raymond Barron IV, DDS

  • General Practice Dentistry
  • Arlington, TX
National Provider Identifier
1851821920
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33027 Issued in TX
Practice address
601 Matlock Centre Cir
Arlington, TX 76015-2535
Phone
(817) 693-1000
Fax
(904) 293-4222
NPI assigned
Jun 12, 2017
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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 33027 TX Primary

Addresses

Primary practice location

601 Matlock Centre Cir
Arlington, TX 76015-2535

Mailing address

PO Box 1000 Dept 394
Memphis, TN 38148-0001
Phone (941) 300-4440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190219000226 TX Practitioner - Dentist 5698012326 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33027TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Longview Wellness Center, Inc CurrentSince Mar 4, 2019 Accepting new patients
Can Community Health, Inc. General Practice CurrentSince Dec 6, 2022 Accepting new patients
Longview Wellness Center Inc CurrentSince Mar 4, 2019 Accepting new patients
Can Community Health Inc. CurrentSince Dec 6, 2022 Accepting new patients
Longview Wellness Center, Inc General Practice Current Accepting new patients
Longview Wellness Center Inc PastSince Jan 2, 2022 Accepting new patients

Locations

4440 Fruitville Rd
Sarasota, FL 34232
Phone (941) 366-0134

601 Matlock Centre Cir
Arlington, TX 76015
Phone (817) 693-1000

1107 E Marshall Ave
Longview, TX 75601
Phone (903) 212-4763

1701 Pine Tree Rd
Longview, TX 75604
Phone (713) 292-3177

Interoperability endpoints

  • Direct secure messaging: raymond.barron@can.eclinicaldirectplus.com

Organizations & group practices 6

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": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1851821920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000 DEPT 394",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "941-300-4440",
            "fax_number": "941-404-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MATLOCK CENTRE CIR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152535",
            "telephone_number": "817-693-1000",
            "fax_number": "904-293-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRON",
        "first_name": "RAYMOND",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-12",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.