Individual provider Active NPI

John Talbott Barta, D.D.S.

  • Dentist
  • Colorado Springs, CO
National Provider Identifier
1063821080
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00202482 Issued in CO
Practice address
685 Citadel Dr E Ste 313
Colorado Springs, CO 80909-5316
Phone
(719) 574-1741
NPI assigned
Aug 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 00202482 CO Primary

Addresses

Primary practice location

685 Citadel Dr E Ste 313
Colorado Springs, CO 80909-5316

Mailing address

685 Citadel Dr E Ste 313
Colorado Springs, CO 80909-5316
Phone (719) 574-1741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00202482COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
John Barta DDS PLLC Current Accepting new patients
Fountain Modern Dentistry and Orthodontics, LLP Past Accepting new patients

Locations

339 McCaslin Blvd
Ste B
Louisville, CO 80027
Phone (303) 673-0500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1063821080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 CITADEL DR E STE 313",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095316",
            "telephone_number": "719-574-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 CITADEL DR E STE 313",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095316",
            "telephone_number": "719-574-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTA",
        "first_name": "JOHN",
        "middle_name": "TALBOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-04",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00202482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.