Active NPI
Kathy N. Barnes, D.D.S.,
- General Practice Dentistry
- Burgaw, NC
National Provider Identifier
1861402083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5792
- Practice address
- 803 S Walker St
Burgaw, NC 28425-5001 - Phone
- (910) 259-1230
- Fax
- (910) 259-1258
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5792 | NC | Primary |
Addresses
Primary practice location
803 S Walker St
Burgaw, NC 28425-5001
Mailing address
803 S Walker St
Burgaw, NC 28425-5001
Phone (910) 259-1230
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 598286 | Other | NC | UNITED CONCORDIA |
| 8990466 | Medicaid | NC | |
| 90466 | Other | NC | BLUE CROSS BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5792 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429833600000",
"number": "1861402083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 S WALKER ST",
"city": "BURGAW",
"state": "NC",
"postal_code": "284255001",
"telephone_number": "910-259-1230",
"fax_number": "910-259-1258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 S WALKER ST",
"city": "BURGAW",
"state": "NC",
"postal_code": "284255001",
"telephone_number": "910-259-1230",
"fax_number": "910-259-1258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "KATHY",
"middle_name": "N.",
"name_prefix": "Mrs.",
"credential": "D.D.S.,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2015-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "5792",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "598286",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8990466",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "90466",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burgaw, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.