Organization Active NPI

Adam Tyler Barnes DDS of Oklahoma PLLC

  • Dental Clinic/Center
  • Owasso, OK
National Provider Identifier
1851964829
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ADAM TYLER BARNES DDS OF OKLAHOMA PLLC
Practice address
11422 N 134TH East Ave Ste 2
Owasso, OK 74055-4715
Phone
(918) 376-6600
NPI assigned
Jul 19, 2021
Last updated
Jul 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Adam Barnes, DDSNPI 1598104747
Title
Owner/Doctor
Phone
(918) 376-6600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

11422 N 134TH East Ave Ste 2
Owasso, OK 74055-4715

Mailing address

11422 N 134TH East Ave Ste 2
Owasso, OK 74055-4715
Phone (918) 376-6600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address manager@securedenturesandimplants.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260120003625 OK Part B Supplier - Clinic/Group Practice 3476030586 Practice locations: Owasso, OK

National Provider Directory

National Provider Directory

Locations

11422 N 134th East Ave
Owasso, OK 74055
Phone (918) 376-6600

11422 N 134th East Ave
Ste 2
Owasso, OK 74055
Phone (918) 376-6600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1851964829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11422 N 134TH EAST AVE STE 2",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554715",
            "telephone_number": "918-376-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11422 N 134TH EAST AVE STE 2",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554715",
            "telephone_number": "918-376-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM TYLER BARNES DDS OF OKLAHOMA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "918-376-6600",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "manager@securedenturesandimplants.com",
            "affiliation": "N",
            "address_1": "11422 N 134th East Ave Ste 2",
            "city": "Owasso",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740554715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.