Kelly Anne Barnes, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

20095 Issued in MA

Practice address

111 Boston Post Rd
Suite 215
Sudbury, MA 01776-2463

Phone

(978) 443-7101

NPI assigned

Nov 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sudbury Endodontics, PC

  • Endodontics
  • Sudbury, MA
  • NPI 1891874632
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992884860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BOSTON POST RD",
            "address_2": "SUITE 215",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017762463",
            "telephone_number": "978-443-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BOSTON POST RD",
            "address_2": "SUITE 215",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017762463",
            "telephone_number": "978-443-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "20095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sana Assaf, M.D.
• Laura Ribeiro Baptista, MA, BA
• Rachael S. Barabell, OTR/L, MSW, MPH
• William Zachary Barnard, M.D.
• John Benjamin Barnes, PHD
• Raina Basak, FNP-BC
• Isabella Bauters, PMHNP-BC
• Bear Mt Sudbury LLC
• Julie L Bellet, M.D.
• Andrea C Bertorelli, CPNP

• Endodontics in Sudbury, MA
• Providers in Sudbury, MA by specialty
• Endodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.