DR. BARRY ROBERT MATHESON (NPI# 1639396989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639396989 |
Entity Type | Individual |
Full Name | DR. BARRY ROBERT MATHESON |
Credential | D.D.S., M.S.D. |
Practice Address |
817 Gate City Highway Bristol VA 24201 |
Practice Telephone | 2766691231 |
Practice Fax Number | 2764666872 |
Mailing Telephone | 2766691231 |
Mailing Fax Number | 2764666872 |
Enumeration Date | 2007-04-19 |
Last Update Date | 2007-08-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223P0300X |
Dentist Specialization: Periodontics |
14875 | TX | Dental Providers |
N | 1223P0300X |
Dentist Specialization: Periodontics |
DS0000005057 | TN | Dental Providers |
Y | 1223P0300X |
Dentist Specialization: Periodontics |
0401006603 | VA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871673814 | Barry Michael Matheson | Chiropractor | 5265 W Pierson Rd, G, Flushing, MI 48433-2411 | 2006-10-16 |
Street Address |
817 GATE CITY HIGHWAY |
City | BRISTOL |
State | VA |
Zip Code | 24201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346467511 | Barry R. Matheson, Dds, Msd PC | Dentist | 817 Gate City Highway, Bristol, VA 24201 | 2007-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699234716 | Vanessa Ruiz Sutherland | Speech-Language Pathologist | Stonewall Jackson Elementary School, 2045 Euclid Ave, Bristol, VA 24201 | 2019-03-18 |
1003394693 | Cplace Bristol Snf, LLC | Clinic/Center | 109 Village Circle, Bristol, VA 24201 | 2018-08-06 |
1871001420 | Karen Lavonne Ford | Case Manager/Care Coordinator | 727 Portsmouth Avenue, Bristol, VA 24201 | 2018-01-17 |
1558872176 | City of Bristol Va | Ambulance | 211 Lee St, Bristol, VA 24201 | 2017-10-23 |
1942338082 | Joann Wolfe Vaughn | Nurse Practitioner | 103 North Street, Ridgeview Pavilion, Bristol, VA 24201 | 2007-03-01 |
1003982968 | American Medical Devices, Inc. | Durable Medical Equipment & Medical Supplies | 1788 Island Rd, Bristol, VA 24201 | 2006-11-24 |
1134224827 | Theresa D Morris | Licensed Practical Nurse | 510 Cumberland St, Executive Plaza 4th Floor, Bristol, VA 24201 | 2006-09-14 |
1083718605 | Tomhave Olson Dental Associates | Dentist | 510 Cumberland St., Executive Plaza, 4th Floor, Bristol, VA 24201 | 2006-09-12 |
1972606408 | Terry H Gillenwater | Chiropractor | 2110 Euclid Ave, Bristol, VA 24201 | 2006-09-07 |
1851406383 | Diane E Hawkins | Psychiatry & Neurology | 510 Cumberland Street, Executive Plaza 4th Floor, Bristol, VA 24201 | 2006-08-21 |
Find all providers in zip 24201 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447396973 | Robert Francis Treado | Dentist | 670 East Road, Bristol, CT 06010 | 2007-01-30 |
1346467511 | Barry R. Matheson, Dds, Msd PC | Dentist | 817 Gate City Highway, Bristol, VA 24201 | 2007-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497361471 | Lisa A. Marvil, D.m.d., P.l.l.c. | Dentist | 17341-b Pickwick Drive, Purcellville, VA 20132 | 2020-09-16 |
1720624307 | Deena Hadithi Dmd, PC. | Dentist | 7210 Old Keene Mill Rd Ste 3, Springfield, VA 22150-3442 | 2019-11-19 |
1689223836 | Alka Panwar | Dentist | 4319 Dale Blvd Ste 6, Woodbridge, VA 22193-2401 | 2019-09-10 |
1801445135 | Neha Agarwal | Dentist | 23386 Epperson Sq, Brambleton, VA 20148-5794 | 2019-09-09 |
1164999181 | Smba Dentistry, Pllc | Dentist | 2801 Mcrae Rd Ste C1, North Chesterfield, VA 23235-3056 | 2018-10-29 |
1750860516 | Khashayar Kordbacheh Changi | Dentist | 3543 W Braddock Rd Ste E2, Alexandria, VA 22302-1903 | 2018-08-11 |
1205314309 | Shivangi B Amin | Dentist | 2420 Old Brick Rd Apt 1315, Glen Allen, VA 23060-5995 | 2018-07-31 |
1881107100 | New River Periodontics and Dental Implant Center, PC | Dentist | 2612 Sheffield Drive, Blacksburg, VA 24060 | 2017-11-08 |
1740793355 | Amy Ton Dds Pllc | Dentist | 11868 Sunrise Valley Dr Ste 100, Reston, VA 20191-3320 | 2017-11-06 |
1023539301 | Denver James Lyons | Dentist | 521 N 11th St # 980566, Richmond, VA 23298-5045 | 2017-06-27 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.