DR. BARRETT KYLE NORDSTROM DDS, MS
NPI 1922499243
Dentist - Orthodontics and Dentofacial Orthopedics in Johnston, RI

Active since February 09, 2015Opted out of Medicare · through Nov 7, 2026
1226 HARTFORD AVE STE 101, JOHNSTON, RI 02919(401) 331-7171(401) 331-2755 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Barrett Kyle Nordstrom Dds, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BARRETT KYLE NORDSTROM DDS, MS (NPI 1922499243) is an individual orthodontics and dentofacial orthopedics provider in Johnston, Rhode Island, licensed in Rhode Island (DEN03481) and active in the NPI registry since February 2015. He has opted out of Medicare through November 7, 2026 and remains eligible to order and refer and maintains a secondary practice location in East Greenwich.

NPPES Registry Identity

NPI1922499243
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. BARRETT KYLE NORDSTROMCredential: DDS, MS
Location Address1226 HARTFORD AVE STE 101Johnston, RI 02919-7100
Mailing Address18 Maple Ave # 117Barrington, RI 02806-3560 · (617) 335-3015
Fax(401) 331-2755
Sole ProprietorNo
Enumeration DateFebruary 9, 2015
Last NPPES UpdateDecember 1, 2022
NPPES CertifiedDecember 1, 2022
NPI 1922499243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in RI · DEN03481
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1226 HARTFORD AVE STE 101, Johnston, RI 02919

Secondary Practice Location 1

Location 11050 Main St Unit 33East Greenwich, RI 02818-3164 · Phone (401) 884-9650

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Barrett Kyle Nordstrom Dds, Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 7, 2018 through November 7, 2026.

Opt-Out Effective DateNovember 7, 2018
Opt-Out In Effect ThroughNovember 7, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02919 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
1226 HARTFORD AVE STE 101
JOHNSTON, RI 02919

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Barrett Nordstrom's NPI number?

The NPI number for Barrett Nordstrom is 1922499243. It was assigned to this individual provider in the NPPES registry on February 9, 2015.

Where is Barrett Nordstrom located?

Barrett Nordstrom practices at 1226 Hartford Ave Ste 101, Johnston, RI 02919. The listed phone number is (401) 331-7171.

What is Barrett Nordstrom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Barrett Nordstrom enrolled in Medicare?

No. Barrett Nordstrom has opted out of Medicare through November 7, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Barrett Nordstrom accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Barrett Nordstrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Barrett Nordstrom was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.