NPIMap

Organization Active NPI

David Barts DDS PC

  • General Practice Dentistry
  • Rochester, IN
National Provider Identifier
1134515810
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009107A Issued in IN
Legal business name
DAVID BARTS DDS PC
Practice address
1360 E 4TH St
Rochester, IN 46975-9103
Phone
(574) 223-7792
Fax
(574) 224-7792
NPI assigned
Apr 9, 2015
Last updated
Apr 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
David Joe Barts, DDSNPI 1427008382
Title
President/Owner
Phone
(574) 223-7792

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12009107A IN Primary

Addresses

Primary practice location

1360 E 4TH St
Rochester, IN 46975-9103

Mailing address

1360 E 4TH St
PO Box 667
Rochester, IN 46975-9103
Phone (574) 223-7792

Other identifiers 1

IdentifierTypeStateIssuer
100118590AMedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
David Barts DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1134515810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E 4TH ST",
            "address_2": "PO BOX 667",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469759103",
            "telephone_number": "574-223-7792",
            "fax_number": "574-224-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E 4TH ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469759103",
            "telephone_number": "574-223-7792",
            "fax_number": "574-224-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID BARTS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "BARTS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "574-223-7792",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009107A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100118590A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.