1619356144 NPI number — ANNIE NGO BARNES, DDS AND STEPHEN JAMES BARNES, DDS, INC.

Table of content: DANIELLE CHRISTINE HILLER PT, DPT, OCS (NPI 1245654375)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619356144 NPI number — ANNIE NGO BARNES, DDS AND STEPHEN JAMES BARNES, DDS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANNIE NGO BARNES, DDS AND STEPHEN JAMES BARNES, DDS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619356144
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/29/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1741 PROFESSIONAL DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SACRAMENTO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95825-2104
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
916-485-5539
Provider Business Mailing Address Fax Number:
916-485-2701

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1741 PROFESSIONAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95825-2104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-485-5539
Provider Business Practice Location Address Fax Number:
916-485-2701
Provider Enumeration Date:
05/29/2015

Additional Information

Authorized Official

Authorized Official Last Name:
BARNES
Authorized Official First Name:
ANNIE
Authorized Official Middle Name:
NGO
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
916-485-5539

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X , with the licence number:  GNB32010-48671 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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