Individual provider Active NPI

Barton Lee Neckers, D.D.S.

  • General Practice Dentistry
  • North East, PA
National Provider Identifier
1942387162
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
022916 Issued in PA
Practice address
2 Pershing Ave
North East, PA 16428-1312
Phone
(814) 725-4428
NPI assigned
Nov 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 022916 PA Primary

Addresses

Primary practice location

2 Pershing Ave
North East, PA 16428-1312

Mailing address

2 Pershing Ave
North East, PA 16428-1312
Phone (814) 725-4428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150526002035 PA Order and Referring Only - DentistPractitioner - Dentist 1355661703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
022916PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942387162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PERSHING AVE",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "164281312",
            "telephone_number": "814-725-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PERSHING AVE",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "164281312",
            "telephone_number": "814-725-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NECKERS",
        "first_name": "BARTON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "022916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North East, PA

Sources for this page

Verify at the official NPI Registry.