Erin Janine Bartlett, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7020 Issued in OK

Practice address

400 Main St
Broken Bow, OK 74728-2982

Phone

(580) 584-3321

Fax

(580) 584-3237

NPI assigned

Jul 15, 2017

Last updated

Jun 21, 2023By 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 CO

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.

• Broken Bow Dentistry PLLC

  dba Broken Bow Dentistry

  • Dental Clinic/Center
  • Broken Bow, OK
  • NPI 1811658685
  NPD
• OB Hearne DDS PC

  • General Practice Dentistry
  • Broken Bow, OK
  • NPI 1336818103
  NPD

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

{
    "created_epoch": "1500076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1265954713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MAIN ST",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747282982",
            "telephone_number": "580-584-3321",
            "fax_number": "580-584-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MAIN ST",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747282982",
            "telephone_number": "580-584-3321",
            "fax_number": "580-584-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "ERIN",
        "middle_name": "JANINE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-15",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00203196",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eddie D Allen, DPH
• Rodney Shawn Anna
• Assurance Health Care Services, LLC
• Courtney Axton
• Joyce Baker
• Battles Broken Bow Family Clinic, LLC (Broken Bow Family Clinic LLC)
• Leslie Orr Battles, CNP
• BBHR Opco, LLC (Broken Bow Health and Rehab)
• Black Oak Clinic LLC
• Megan Elizabeth Black, APRN, C-NP

• General Practice Dentistry in Broken Bow, OK
• Providers in Broken Bow, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.