DR. JONATHAN BRUCE BARNES (NPI# 1750655627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750655627 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN BRUCE BARNES |
| Credential | D.M.D |
| Practice Address |
1630 S Stapley Dr Ste 208 Mesa AZ 85204-6659 |
| Practice Telephone | (480) 775-2656 |
| Mailing Telephone | 4807752656 |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2019-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
D9064 | AZ | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
D009064 | AZ | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
8350105-9921 | UT | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1630 S Stapley Dr Ste 208, Mesa, AZ 852046659 | (480) 775-2656 | |
| 208 W D L Ingram Blvd, Cannon Afb, NM 881035103 | 5757844041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316938731 | Jonathan Alan Barnes | Psychologist | 301 Violeta Cir, Goldsboro, NC 27534-3245 | 2005-11-03 |
| 1891270385 | Jonathan David Barnes | Physician Assistant | 31565 Rancho Pueblo Rd Ste 201, Temecula, CA 92592 | 2018-10-01 |
| 1811359995 | Jonathan Aaron Barnes | Surgery | 1 Medical Center Dr, Dhmc Department of Vascular Surgery, Lebanon, NH 03756-1000 | 2016-03-28 |
| 1376915678 | Jonathan Daniel Barnes | Nurse Practitioner | 1601 E Broadway, Broadway Medical Plaza 1 Suite 240, Columbia, MO 65201-8020 | 2015-10-26 |
| 1730127598 | Jonathan Blair Barnes | Specialist | 308 Deep South Farm Rd, Suite 100, Blairsville, GA 30512-2218 | 2006-06-03 |
| Street Address |
1630 S STAPLEY DR STE 208 |
| City | MESA |
| State | AZ |
| Zip Code | 85204-6659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366962995 | Mesa Endodontics Pllc | Dentist | 2855 E Brown Rd Ste 15, Mesa, AZ 85213-4216 | 2017-06-25 |
| 1255762175 | Stephen L. Walker Dds Pllc | Dentist | 2220 W Southern Ave Ste 102, Mesa, AZ 85202-4706 | 2013-12-03 |
| 1548534035 | Isaac Edmundson Pratt | Dentist | 1712 S Country Club Dr Ste 104, Mesa, AZ 85210-6046 | 2012-02-29 |
| 1770898488 | David Glen Mortenson | Dentist | 2208 S Barrington, Mesa, AZ 85209-5328 | 2010-08-18 |
| 1013126101 | Raymond Mcready Travis Vanderwerf | Dentist | 1630 S Stapley Dr, #208, Mesa, AZ 85204-6657 | 2007-05-22 |
| 1861544256 | Superstition Springs Endodontics, LLP | Dentist | 6755 E Superstition Springs Blvd Ste 101, Mesa, AZ 85206-4375 | 2007-01-17 |
| 1255493151 | James D. Hamberlin | Dentist | 1056 S Val Vista Dr Ste 3, Mesa, AZ 85204-5671 | 2006-12-15 |
| 1720166499 | Stephen L. Walker | Dentist | 2220 W Southern Ave, 102, Mesa, AZ 85202-4772 | 2006-11-01 |
| 1225115942 | Brian Allen Christopherson | Dentist | 1635 N Greenfield Rd Ste 119, Mesa, AZ 85205-4010 | 2006-11-01 |
| 1083668230 | Endodontic Specialists Ltd | Dentist | 2220 W Southern Avenue, Suite #102, Mesa, AZ 85202-4704 | 2006-05-20 |
| Find all providers in MESA | ||||
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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.