James Barsetti, DDS
Individual provider Active NPI General Practice Dentistry · Olathe, KS
NPI 1114554151 · NPPES record last updated May 8, 2024
Key facts
- NPI
- 1114554151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 62050 (KS)
- Practice address
- 11164 S Noble Dr Ste 103
Olathe, KS 66061-7530 - Phone
- (913) 782-1420
- NPI assigned
- Mar 26, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240723002520 | MO | Practitioner - Dentist | 1254751159 | Reassigns benefits to 1 organization |
| I20250117000624 | IA | Practitioner - Dentist | 1254751159 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62050 | KS | MD | General Practice Dentistry |
| 2023013035 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Dental Care PC | Current |
Accepting new patients | |
| O'Meara Dental | Past |
Accepting new patients |
Locations
400 Locust St
Ste 400
Des Moines, IA 50309
Phone (515) 664-2681
8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (913) 362-1112
2847 S Ingram Mill Rd
Ste A100
Springfield, MO 65804
Phone (214) 705-2301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DDS-09884 | IA | |
| General Practice Dentistry | 1223G0001X | 2023013035 | MO | |
| General Practice Dentistry | 1223G0001X | 62050 | KS | Yes |
Addresses
Primary practice location
11164 S Noble Dr Ste 103
Olathe, KS 66061-7530
Mailing address
1000 73Rd St Ste 7
West Des Moines, IA 50265-1321
Phone (515) 720-2141
Other providers in Olathe, KS
- Brian Joseph Barnes
- Jessica Barnes
- Margaret Barnett
- Lamin Barrow
- Barry Reed Counseling Services, Inc.
- Danielle Longhofer Bartelli
- Sarah Jessica Barth
- Margo Barton
- Michael Barton
- Baseline Medical Equipment and Supplies
All providers in Olathe, KS · General Practice Dentistry in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.