1396820957 NPI number — DR. PETER STANLEY BARRINGER DDM

Table of content: DR. PETER STANLEY BARRINGER DDM (NPI 1396820957)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396820957 NPI number — DR. PETER STANLEY BARRINGER DDM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARRINGER
Provider First Name:
PETER
Provider Middle Name:
STANLEY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDM
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1396820957
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2108 ABBOTT CIRCLE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MANHATTAN
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66503
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-239-7955
Provider Business Mailing Address Fax Number:
785-239-7245

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
600 CAISSON HILL ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FT. RILEY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66442-5043
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-239-7241
Provider Business Practice Location Address Fax Number:
785-239-7245
Provider Enumeration Date:
10/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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