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JACK DEAN BARR
NPI 1952074619
Student in an Organized Health Care Education/Training Program in Creswell, OR

Active since July 28, 2021PECOS Enrolled
82847 CLOVERDALE RD, CRESWELL, OR 97426(503) 757-6819 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jack Dean Barr NPPES

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

JACK DEAN BARR (NPI 1952074619) is an individual student in an organized health care education/training program in Creswell, Oregon and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952074619
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACK DEAN BARR
Location Address82847 CLOVERDALE RDCreswell, OR 97426-9477
Mailing Address82847 Cloverdale RdCreswell, OR 97426-9477
Phone(503) 757-6819
Sole ProprietorNo
Enumeration DateJuly 28, 2021
NPPES CertifiedJuly 28, 2021
✔ NPI 1952074619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

82847 CLOVERDALE RD, Creswell, OR 97426
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Dean Barr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Jack Barr's NPI number?

The NPI number for Jack Barr is 1952074619. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Where is Jack Barr located?

Jack Barr practices at 82847 Cloverdale Rd, Creswell, OR 97426. The listed phone number is (503) 757-6819.

What is Jack Barr's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jack Barr enrolled in Medicare?

Yes. Jack Barr is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Barr was last updated on July 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.