Blake Evers Barnes, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6551 Issued in IA

Practice address

2800 4TH St SW
Suite 1
Mason City, IA 50401-1596

Phone

(641) 424-8062

Fax

(641) 421-7622

NPI assigned

Aug 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871501064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 4TH ST SW",
            "address_2": "SUITE 1",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504011596",
            "telephone_number": "641-424-8062",
            "fax_number": "641-421-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 4TH ST SW",
            "address_2": "SUITE 1",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504011596",
            "telephone_number": "641-424-8062",
            "fax_number": "641-421-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "BLAKE",
        "middle_name": "EVERS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "6551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0500116",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Bailey, LMSW
• Jeremy Baker, TCADC
• Luan M Bargman, PA
• Diana Barillas, LMSW
• Barnes & Louscher, D.D.S., LLC
• Eric C Barnes, D.D.S
• Dorothy Michelle Bartleson
• Vickey J Basgall, LISW
• Amir Bashar, MD
• Walter W Bate, MD

• Dentist in Mason City, IA
• Providers in Mason City, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.