Active NPI
Edward Antone Bartoletti, DMD
- Dentist
- Anaconda, MT
National Provider Identifier
1285797233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1410
- Practice address
- 215 Hickory St
Anaconda, MT 59711-2212 - Phone
- (406) 563-5450
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1410 | MT | Primary |
Addresses
Primary practice location
215 Hickory St
Anaconda, MT 59711-2212
Mailing address
215 Hickory St
Anaconda, MT 59711-2212
Phone (406) 563-5450
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0111930 | Medicaid | MT | |
| 1410-4 | Other | MT | BLUE CROSS |
| 5510713 | Other | MT | CHIP |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1410 | MT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1285797233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 HICKORY ST",
"city": "ANACONDA",
"state": "MT",
"postal_code": "597112212",
"telephone_number": "406-563-5450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 HICKORY ST",
"city": "ANACONDA",
"state": "MT",
"postal_code": "597112212",
"telephone_number": "406-563-5450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTOLETTI",
"first_name": "EDWARD",
"middle_name": "ANTONE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MT",
"license": "1410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0111930",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1410-4",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIP",
"identifier": "5510713",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anaconda, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.