Michael W. Barba
Clinic/Center, Dental in Mason City, IA. Organization (NPI-2).
NPI number1114009255
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1114009255
- Entity type
- Organization (NPI-2)
- Legal business name
- Michael W. Barba
- Organization subpart
- No
- Enumeration date
- Oct 19, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 7089 | IA | Yes |
Practice location
1453 4th St SeSuite A
Mason City, IA 50401-4437
Phone 641-423-2172 · Fax 641-421-4166
Mailing address
1453 4th St SeSuite A
Mason City, IA 50401-4437
Phone 641-423-2172 · Fax 641-421-4166
Authorized official
Michael Wayne Barba
Owner/Orthodontist
6414232172
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