Danielle Noel Barstad, DDS
Individual provider Active NPI Pediatric Dentistry · Milwaukee, WI
NPI 1306900451 · NPPES record last updated Aug 18, 2021
Key facts
- NPI
- 1306900451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 1001212-015 (WI)
- Practice address
- 9000 W Wisconsin Ave
Dental Clinic
Milwaukee, WI 53226-4874 - Phone
- (414) 266-2040
- Fax
- (414) 266-5677
- NPI assigned
- Dec 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140829001526 | TX | Order and Referring Only - Oral Surgery |
1951362813 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001212-015 | WI | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS IHS Phoenix Area | Past | Accepting new patients |
Interoperability endpoints
- dbarstad45301@direct.chw.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 1001212-015 | WI | Yes |
Addresses
Primary practice location
9000 W Wisconsin Ave
Dental Clinic
Milwaukee, WI 53226-4874
Mailing address
9000 W Wisconsin Ave
Ms 958
Milwaukee, WI 53226-4874
Phone (414) 266-7451
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306900451 | Medicaid | WI |
Other names
- Dr. Danielle Barstad Messer
Other providers in Milwaukee, WI
- Courtney Barry
- Darnesha Darmenia Barry
- Heather M. Barry
- Blaine McKinley Barsch
- Emad Barsoum
- Elizabeth Bart
- Gregory Barta
- Lauren Elizabeth Barta
- Kellen C Bartel
- Cheyanne Rita Bartell
All providers in Milwaukee, WI · Pediatric Dentistry in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.