Dr. Marvin L. Barron Dental Practice LLC

Primary specialty

DentistTaxonomy code 122300000X

License

97 Issued in AL

Legal business name

DR. MARVIN L. BARRON DENTAL PRACTICE LLC

Practice address

103 Church Avenue
Rainsville Clinic
Rainsville, AL 35986

Phone

(256) 638-2111

Fax

(256) 638-6205

NPI assigned

Sep 19, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Marvin Lee Barron, DMD

Title

Owner

Phone

(256) 638-2111

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1881020097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359860729",
            "telephone_number": "256-638-2111",
            "fax_number": "256-638-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CHURCH AVENUE",
            "address_2": "RAINSVILLE CLINIC",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "35986",
            "telephone_number": "256-638-2111",
            "fax_number": "256-638-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARVIN L. BARRON DENTAL PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "BARRON",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-638-2111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "97",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147337",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.