Active NPI
David Edward Barnes
- Behavior Technician
- Oklahoma City, OK
National Provider Identifier
1962028894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 20-123863
- Practice address
- 13905 Technology Dr
Oklahoma City, OK 73134-1054 - Phone
- (405) 389-4530
- NPI assigned
- Jun 16, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 20-123863 | OK | Primary |
Addresses
Primary practice location
13905 Technology Dr
Oklahoma City, OK 73134-1054
Mailing address
805 Elmwood Dr
Edmond, OK 73013-5945
Phone (405) 845-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20-123863 | OK | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592265600000",
"number": "1962028894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 ELMWOOD DR",
"city": "EDMOND",
"state": "OK",
"postal_code": "730135945",
"telephone_number": "405-845-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13905 TECHNOLOGY DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731341054",
"telephone_number": "405-389-4530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "DAVID",
"middle_name": "EDWARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-16",
"last_updated": "2020-06-16",
"certification_date": "2020-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OK",
"license": "20-123863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.