CMS-1500 Box 24J / 33a • NPI
1679730790
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
1223E0200X
Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
Box 32 Service Location & ZIP+4
18395 SW ALEXANDER ST, ALOHA, OR, 97003-3961
✓ 9-Digit EDI 837 ZIP+4 (97003-3961)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1679730790 (ALYSON TERRY BARNES, DDS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1679730790 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ALYSON TERRY BARNES, DDS |
| Plain-English Specialty | Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) NUCC Code: 1223E0200X (Dentist, Endodontics) |
| Certifying / Licensing Body | American Dental Association (ADA) / State Board of Dental Examiners |
| Practice Location Address | 18395 SW ALEXANDER ST, ALOHA, OR, 97003-3961 |
| Practice Telephone / Fax | Tel: (503) 642-4552 | Fax: (503) 591-0202 |
| Administrative Mailing Address | 18395 SW ALEXANDER ST, ALOHA, OR, 97003-3961 |
| Enumeration & Last Sync | Enumerated: 2008-05-16 | CMS Record Updated: 2020-05-20 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (1223E0200X)
What Does Taxonomy Code 1223E0200X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1223E0200X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ALYSON TERRY BARNES, DDS)
Typical CPT / Diagnostic Procedures:- Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
- Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions
- Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
- Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
1223E0200X — Dentist, EndodonticsPlain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) | State: WA | License: DE60632860 | Primary: Secondary |
1223G0001X — Dentist, General PracticePlain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) | State: FL | License: DN18563 | Primary: Secondary |
1223G0001X — Dentist, General PracticePlain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) | State: MA | License: DN 1855133 | Primary: Secondary |
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: N/A | License: Verified | Primary: Secondary |
1223E0200X — Dentist, EndodonticsPlain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) | State: OR | License: D9829 | Primary: Yes (Primary) |
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