Page P Barden, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN010757 Issued in GA

Practice address

1024 Market Place Blvd
Cumming, GA 30041-7921

Phone

(770) 844-6771

Fax

(770) 844-6686

NPI assigned

Jul 31, 2006

Last updated

Aug 4, 2015By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Peachstate Perio and Implants, Inc.

  dba Inspiring Smiles

  • Dental Clinic/Center
  • Cumming, GA
  • NPI 1528491644
  Authorized official Same address or phone
• Wranglehurst, P.C.

  • Dental Clinic/Center
  • Norcross, GA
  • NPI 1114145158
  NPD (past) Authorized official
• Wranglehurst, P.C.

  • Periodontics
  • Norcross, GA
  • NPI 1790196467
  NPD (past) Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1932115102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4947 FAIRHAVEN WAY NE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300756110",
            "telephone_number": "404-272-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 MARKET PLACE BLVD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417921",
            "telephone_number": "770-844-6771",
            "fax_number": "770-844-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDEN",
        "first_name": "PAGE",
        "middle_name": "P",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN010757",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN010757",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "DN010757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00882934D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Usha Bangalore Krishnappa, M.D.
• Olufunsho Bankole, MD
• Banks Counseling & Recovery, LLC (Therapeutic Recovery Network)
• Kirsten Elizabeth Banks, LPC
• Barbour Orthopaedics & Sports Medicine PC
• John T Barker, O.D.
• Barker&Truong, O.D., P.C. (ForSight Eye Center)
• Kyeisha Barnes
• Ronald Mark Barnes
• Jocelyn Barnett, PHARMD

• Periodontics in Cumming, GA
• Providers in Cumming, GA by specialty
• Periodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.