Randall James Bartoe, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901016173 Issued in MI

Practice address

2451 Monroe St
Dearborn, MI 48124-3011

Phone

(313) 562-7625

Fax

(313) 568-4242

NPI assigned

Oct 4, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dearborn Dental Care

  • General Practice Dentistry
  • Dearborn, MI
  • NPI 1518756220
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1235225830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243011",
            "telephone_number": "313-562-7625",
            "fax_number": "313-562-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243011",
            "telephone_number": "313-562-7625",
            "fax_number": "313-568-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOE",
        "first_name": "RANDALL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Lynne Barringer, WHNP-BC
• Breanne Barry
• Bartell Chiropractic Life Center PLLC
• Larry Anthony Bartell, D.C.
• Adrienna Bartnicki
• Christian L Bartoi, M.D.
• Kelly Bartok
• Kenneth P Bartold, M.D.
• Basel Khatib, M.D., P.C.
• Basha Dental Group PC

• General Practice Dentistry in Dearborn, MI
• Providers in Dearborn, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.