Barry John Moorhead, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00009661 Issued in WA

Practice address

16375 NE 85TH St
#103
Redmond, WA 98052-3554

Phone

(425) 885-4741

Fax

(425) 883-7101

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902991862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16375 NE 85TH ST",
            "address_2": "#103",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523554",
            "telephone_number": "425-885-4741",
            "fax_number": "425-883-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16375 NE 85TH ST",
            "address_2": "#103",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523554",
            "telephone_number": "425-885-4741",
            "fax_number": "425-883-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORHEAD",
        "first_name": "BARRY",
        "middle_name": "JOHN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Del Rosario Montoya, MEDICAL INTERPRETER
• Melissa Montrose, MSW
• Brendon Andronicus Moodley, DPM
• Lisa Moody, RN
• Kelly Conroy Moore, PHD, LICSW
• Jennifer L Moosman, PHD
• Freya Carmen Moran, D.C., M.S.
• D'Annette Morris
• Ryann Morris
• Jessica Lee Morrow, L.M.P

• General Practice Dentistry in Redmond, WA
• Providers in Redmond, WA by specialty
• General Practice Dentistry in Washington

• 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.