Rose Ann Jeanette Bartnik, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901013539 Issued in MI

Practice address

47100 Schoenherr Rd
Ste. a
Shelby Township, MI 48315-4716

Phone

(586) 566-8338

Fax

(586) 566-8339

NPI assigned

Sep 25, 2006

Last updated

Dec 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ace Dental Care, PLLC

  • Dental Clinic/Center
  • Shelby Township, MI
  • NPI 1588681415

  Durable Medical Equipment & Medical Supplies

  NPD Authorized official
• Shelby Grace Dental PLLC

  • Dental Clinic/Center
  • Shelby Township, MI
  • NPI 1841086584
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1235230145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 PLUM RIDGE DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091021",
            "telephone_number": "248-370-9884",
            "fax_number": "248-370-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47100 SCHOENHERR RD",
            "address_2": "STE. A",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483154716",
            "telephone_number": "586-566-8338",
            "fax_number": "586-566-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTNIK",
        "first_name": "ROSE ANN",
        "middle_name": "JEANETTE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901013539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Bareis, MA
• Katie M Barnes
• Bryan G Barnosky, D.O.
• Stephanie Nicole Barroso
• Lisa Barry, O.D.
• Anjuli Nameer Basilisco
• Krista A Bassett, D.C.
• Mark Andrew Bassett, D.C.
• Michael Bassil
• Deborah A Bastedo, LLP, LPC, NCC

• General Practice Dentistry in Shelby Township, MI
• Providers in Shelby Township, 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 Dec 26, 2019; 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.