Individual provider Active NPI

Valencia Denease Barnes Jackson, DDS

  • Dentist
  • Birmingham, AL
National Provider Identifier
1982124095
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D.0006845 Issued in AL
Practice address
201 18TH St S Unit 101
Birmingham, AL 35233-1875
Phone
(205) 701-4256
Fax
(205) 973-9966
NPI assigned
Jun 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D.0006845 AL Primary

Addresses

Primary practice location

201 18TH St S Unit 101
Birmingham, AL 35233-1875

Mailing address

201 18TH St S Unit 101
Birmingham, AL 35233-1875
Phone (205) 701-4256

Other practice location 1

623 8th Ave W
Birmingham, AL 35204-3604
Phone (205) 545-7696

Other practice location 2

56-45 Main St,
Flushing, NY 11355-5045
Phone (718) 670-2000

Other practice location 3

17411 Horace Harding Expy Dept Of
Fresh Meadows, NY 11365-1527
Phone (718) 670-2871

Other names 1

  • Dr. Valencia Denease Barnes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20210428001279 AL Practitioner - Dentist 6406264670 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D.0006845ALMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cahaba Medical Care Foundation CurrentSince Feb 15, 2021 Accepting new patients
Halo Dental Atelier LLC CurrentSince Sep 28, 2025 Accepting new patients
Cahaba Medical Care Foundation CurrentSince Feb 15, 2021 Accepting new patients

Locations

623 8th Ave W
Birmingham, AL 35204
Phone (205) 545-7696

201 18th St S
Unit 101
Birmingham, AL 35233
Phone (205) 701-4256

405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694

260 Walnut St
Centreville, AL 35042
Phone (205) 926-4697

195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1982124095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 18TH ST S UNIT 101",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331875",
            "telephone_number": "205-701-4256",
            "fax_number": "205-973-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 18TH ST S UNIT 101",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331875",
            "telephone_number": "205-701-4256",
            "fax_number": "205-973-9966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "623 8th Ave W",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352043604",
            "country_code": "US",
            "telephone_number": "205-545-7696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "56-45 Main St,",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113555045",
            "country_code": "US",
            "telephone_number": "718-670-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17411 Horace Harding Expy Dept Of",
            "address_purpose": "LOCATION",
            "city": "Fresh Meadows",
            "state": "NY",
            "postal_code": "113651527",
            "country_code": "US",
            "telephone_number": "718-670-2871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "VALENCIA",
        "middle_name": "DENEASE BARNES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D.0006845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALENCIA",
            "last_name": "BARNES",
            "middle_name": "DENEASE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.