Active NPI
Joseph A Barsetti, DDS
- Pediatric Dentistry
- Omaha, NE
National Provider Identifier
1194777854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 7563
- Practice address
- 2109 Cuming St
Omaha, NE 68102-4325 - Phone
- (402) 280-5990
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 6858 | IA | |
| Pediatric Dentistry | 1223P0221X | 7563 | NE | Primary |
Addresses
Primary practice location
2109 Cuming St
Omaha, NE 68102-4325
Mailing address
2109 Cuming St
Omaha, NE 68102-4325
Phone (402) 280-5990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 029130Z | Medicaid | IA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6858 | IA | MD | Pediatric Dentist |
| 7563 | NE | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Dentistry of Central Iowa PLLC | Pediatric Dentistry | Past | Accepting new patients |
| Pediatric Dentistry of Central Iowa, P.C. | Pediatric Dentistry | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Dentistry
- West Des Moines, IA
- NPI 1992661011
-
dba Pediatric Dentistry
- Pediatric Dentistry
- Des Moines, IA
- NPI 1275618886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1194777854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 CUMING ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681024325",
"telephone_number": "402-280-5990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 CUMING ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681024325",
"telephone_number": "402-280-5990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARSETTI",
"first_name": "JOSEPH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "IA",
"license": "6858",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NE",
"license": "7563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "029130Z",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.