Active NPI
Dean M Bartlett, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Queensbury, NY
National Provider Identifier
1366651309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 031432-1
- Practice address
- 333 Aviation Rd BLDG a
Queensbury, NY 12804-2915 - Phone
- (518) 793-8511
- Fax
- (518) 793-8588
- NPI assigned
- May 22, 2007
- Last updated
- Apr 18, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 031432-1 | NY | Primary |
Addresses
Primary practice location
333 Aviation Rd BLDG a
Queensbury, NY 12804-2915
Mailing address
333 Aviation Rd BLDG a
Queensbury, NY 12804-2915
Phone (518) 793-8511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141629796 | Other | NY | TAX IDENTIFICATION NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 031432-1 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven Alexander DDS, MSD, P.C. | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Bartlett & Alexander Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Queensbury, NY
- NPI 1134517477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334707200000",
"number": "1366651309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 AVIATION RD BLDG A",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128042915",
"telephone_number": "518-793-8511",
"fax_number": "518-793-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 AVIATION RD BLDG A",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128042915",
"telephone_number": "518-793-8511",
"fax_number": "518-793-8588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTLETT",
"first_name": "DEAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2012-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "031432-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "141629796",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Queensbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.