Individual provider Active NPI

Algis Vladas Barauskas, DDS

  • Dentist
  • Detroit, MI
National Provider Identifier
1982877700
Registry record updated Apr 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11005 Issued in MI
Practice address
3011 W Grand Blvd
472 Fisher BLDG
Detroit, MI 48202-3096
Phone
(313) 871-1044
NPI assigned
Apr 13, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11005 MI Primary

Addresses

Primary practice location

3011 W Grand Blvd
472 Fisher BLDG
Detroit, MI 48202-3096

Mailing address

3011 W Grand Blvd
472 Fisher BLDG
Detroit, MI 48202-3096
Phone (313) 871-1044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160601001181 MI Order and Referring Only - DentistPractitioner - Dentist 5092005256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11005MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1208044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208044800000",
    "number": "1982877700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 W GRAND BLVD",
            "address_2": "472 FISHER BLDG",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023096",
            "telephone_number": "313-871-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 W GRAND BLVD",
            "address_2": "472 FISHER BLDG",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023096",
            "telephone_number": "313-871-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAUSKAS",
        "first_name": "ALGIS",
        "middle_name": "VLADAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-13",
        "last_updated": "2008-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "11005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.