Tae Jaymes Barto, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08632 Issued in IA

Practice address

6057 SE 14TH St
Des Moines, IA 50320-1704

Phone

(515) 285-4759

NPI assigned

Jun 22, 2009

Last updated

Jun 22, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tae HJ Barto DDS

  dba Southside Dental Clinic

  • General Practice Dentistry
  • Des Moines, IA
  • NPI 1669738902
  NPD (past) Authorized official
• Keith a Colwell DDS PC

  • Dentist
  • Des Moines, IA
  • NPI 1063691962
  NPD (past)

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1356578975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6057 SE 14TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503201704",
            "telephone_number": "515-285-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6057 SE 14TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503201704",
            "telephone_number": "515-285-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTO",
        "first_name": "TAE",
        "middle_name": "JAYMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley James Bartlett, O.D.
• Daniel Phillip Bartlett, DDS
• Irene G Bartlett, PT
• James Holmes Bartlett, MD
• Jill E Bartlett, ARNP
• Erika Elisabeth Bartschat, MD
• Emily K Bash, LMHC
• Prince Basoah, MD
• Donia Bass, ARNP, NNP-BC
• Shannon Renae Bassett, FNP-C

• General Practice Dentistry in Des Moines, IA
• Providers in Des Moines, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.