Active NPI
Garry Barth
- General Practice Dentistry
- Mayfield HTS, OH
National Provider Identifier
1891867057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12007444
- Practice address
- 5875 Landerbrook Dr Ste 250
Mayfield HTS, OH 44124-6502 - Phone
- (800) 487-4867
- Fax
- (216) 593-7533
- NPI assigned
- Nov 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 12007444 | IN | Primary |
Addresses
Primary practice location
5875 Landerbrook Dr Ste 250
Mayfield HTS, OH 44124-6502
Mailing address
5875 Landerbrook Dr Ste 250
Mayfield HTS, OH 44124-6502
Phone (800) 487-4867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160526001745 | IN | Order and Referring Only - Dentist | 0042500415 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12007444 | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onhealthcare, LLC | Past | Accepting new patients |
Interoperability endpoints
- garry.barth.p4@direct.360care.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891867057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5875 LANDERBROOK DR STE 250",
"city": "MAYFIELD HTS",
"state": "OH",
"postal_code": "441246502",
"telephone_number": "800-487-4867",
"fax_number": "216-593-7533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5875 LANDERBROOK DR STE 250",
"city": "MAYFIELD HTS",
"state": "OH",
"postal_code": "441246502",
"telephone_number": "800-487-4867",
"fax_number": "216-593-7533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTH",
"first_name": "GARRY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12007444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayfield HTS, OH
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.