Individual provider Active NPI

Virgil Anthony William Bartels IV, DDS

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1336090455
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN124068. Issued in GA
Practice address
8200 Roberts Dr Ste 100
Atlanta, GA 30350-4150
Phone
(770) 504-4519
NPI assigned
Feb 5, 2026
Sex
Male
Sole proprietor
No

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN124068.GAMDGeneral Practice Dentistry
13068TNMDGeneral Practice Dentistry

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN124068. GA Primary
General Practice Dentistry 1223G0001X 13068 TN

Addresses

NPPES NPI Registry

Primary practice location

8200 Roberts Dr Ste 100
Atlanta, GA 30350-4150

Mailing address

8200 Roberts Dr Ste 100
Atlanta, GA 30350-4150

Other practice location 1

7333 Shallowford Rd
Chattanooga, TN 37421-2627
Phone (423) 414-3140

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2026.

{
    "created_epoch": "1770249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1336090455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 ROBERTS DR STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303504150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 ROBERTS DR STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303504150",
            "telephone_number": "770-504-4519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7333 Shallowford Rd",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374212627",
            "country_code": "US",
            "telephone_number": "423-414-3140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTELS",
        "first_name": "VIRGIL",
        "middle_name": "ANTHONY WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN124068.",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "13068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.