Active NPI
Stephen Paul Barker
- Dentist
- Conroe, TX
National Provider Identifier
1871890731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14689
- Practice address
- 605 S Conroe Medical Dr
Conroe, TX 77304-4722 - Phone
- (936) 539-4004
- NPI assigned
- Feb 11, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 14689 | MD | Primary |
Addresses
Primary practice location
605 S Conroe Medical Dr
Conroe, TX 77304-4722
Mailing address
605 S Conroe Medical Dr
Conroe, TX 77304-4722
Phone (936) 539-4004
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14689 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488326400000",
"number": "1871890731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 S CONROE MEDICAL DR",
"city": "CONROE",
"state": "TX",
"postal_code": "773044722",
"telephone_number": "936-539-4004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 S CONROE MEDICAL DR",
"city": "CONROE",
"state": "TX",
"postal_code": "773044722",
"telephone_number": "936-539-4004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKER",
"first_name": "STEPHEN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-11",
"last_updated": "2017-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "14689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.