Terry L Bartholomew II, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20082 Issued in OH

Practice address

341 Cline Ave
Mansfield, OH 44907-1072

Phone

(419) 756-4908

Fax

(419) 756-6146

NPI assigned

Mar 10, 2007

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

Enrolled in OH

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

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.

• Richland Internal Medicine

  • Internal Medicine Physician
  • Mansfield, OH
  • NPI 1912036468
  NPD (past)
• Robert E Barkett MD Incorporated

  • Internal Medicine Physician
  • Mansfield, OH
  • NPI 1619164902
  NPD (past)

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1326170853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 CLINE AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071072",
            "telephone_number": "419-756-4908",
            "fax_number": "419-756-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 CLINE AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071072",
            "telephone_number": "419-756-4908",
            "fax_number": "419-756-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHOLOMEW",
        "first_name": "TERRY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-10",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "20082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyjee Shakur Barrett Hobbs
• Jada Barrett
• Tiarrha Barrett
• Alyssa Dawn Barrows
• Heather A Barrows
• Timothy Scott Bartholomew, DDS
• Carolyn A Barton
• John S Basch, MD
• Andrew Carl Basinger, D.D.S.
• Jessie L Bass, LPN

• General Practice Dentistry in Mansfield, OH
• Providers in Mansfield, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.