Virgil Anthony William Bartels III, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3161 Issued in AR

Practice address

811 Windover Rd
Ste a
Jonesboro, AR 72401-6094

Phone

(870) 935-8000

Fax

(870) 930-3977

NPI assigned

Jul 1, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1154328441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 WINDOVER RD STE A",
            "address_2": "STE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016094",
            "telephone_number": "870-935-8000",
            "fax_number": "870-930-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 WINDOVER RD",
            "address_2": "STE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016094",
            "telephone_number": "870-935-8000",
            "fax_number": "870-930-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTELS",
        "first_name": "VIRGIL ANTHONY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS MEDICAID",
            "identifier": "162407608",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA ID",
            "identifier": "855177",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS BLUE SHIELD",
            "identifier": "5T143",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devan Barrett
• Mable Barrett, LPN
• Kaitlyn Barron
• Dylan Reid Barrow, MD
• Troy Dryden John Bartels, D.D.S.,P.A.
• Joylyn Gregory Bartlett
• Christie Barttelt
• Megan Brooke Bass, LPN
• Melissa D Bass, LPN
• Pamela Ann Bass, LPTA

• General Practice Dentistry in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.