Individual provider Active NPI

Natalia Bartkova, D.D.S.

  • Dentist
  • New York, NY
National Provider Identifier
1386089100
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
050362 Issued in NY
Practice address
205 W End Ave
1F
New York, NY 10023-4804
Phone
(646) 414-6238
Fax
(646) 414-6239
NPI assigned
May 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN27811 FL
Dentist 122300000X 050362 NY Primary

Addresses

Primary practice location

205 W End Ave
1F
New York, NY 10023-4804

Mailing address

801 N Congress Ave Ste 185C
Boynton Beach, FL 33426-3364
Phone (561) 369-7199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20160224000856 NY Order and Referring Only - DentistPractitioner - Dentist 9739484098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN27811FLMDGeneral Practice Dentistry

Networks

  • HealthSun Health Plans Network
  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1386089100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N CONGRESS AVE STE 185C",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263364",
            "telephone_number": "561-369-7199",
            "fax_number": "561-369-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W END AVE",
            "address_2": "1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234804",
            "telephone_number": "646-414-6238",
            "fax_number": "646-414-6239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTKOVA",
        "first_name": "NATALIA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27811",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "050362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.