Individual provider Active NPI

Barry K Bartee, D.D.S., P.A.

  • General Practice Dentistry
  • Lubbock, TX
National Provider Identifier
1861542300
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15011 Issued in TX
Practice address
3234 64TH St
Lubbock, TX 79413-5760
Phone
(806) 792-0030
Fax
(806) 792-8730
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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 15011 TX Primary

Addresses

Primary practice location

3234 64TH St
Lubbock, TX 79413-5760

Mailing address

4008 92ND St
Lubbock, TX 79423-2928
Phone (806) 794-6406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 23, 2015 through Jun 23, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15011TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1861542300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 92ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794232928",
            "telephone_number": "806-794-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3234 64TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794135760",
            "telephone_number": "806-792-0030",
            "fax_number": "806-792-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTEE",
        "first_name": "BARRY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.D.S., P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.