Individual provider Active NPI

Jeanne L Barss, DDS, MS

  • Periodontics
  • Saint Paul, MN
National Provider Identifier
1386901858
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
D9687 Issued in MN
Practice address
2550 University Ave W Ste 189S
Saint Paul, MN 55114-2001
Phone
(763) 577-2484
NPI assigned
Apr 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X D9687 MN Primary

Addresses

Primary practice location

2550 University Ave W Ste 189S
Saint Paul, MN 55114-2001

Mailing address

3475 Plymouth Blvd
Suite 200
Plymouth, MN 55447-1499
Phone (763) 694-6158

Other practice location 1

3475 Plymouth Blvd
Suite 200
Plymouth, MN 55447-1499
Phone (763) 694-6158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160815000533 MN Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 2163716127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
Indiana University School of Dentistry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3475 Plymouth Blvd
Suite 200
Plymouth, MN 55447-1539
Phone (763) 577-2484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
D9687MNMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Head and Neck Pain Clinic, PA CurrentSince Aug 1, 2016 Accepting new patients
Minnesota Head and Neck Pain Clinic, PA CurrentSince Aug 1, 2016 Accepting new patients

Locations

3475 Plymouth Blvd
Ste 200
Plymouth, MN 55447
Phone (763) 577-2484

2550 University Ave W
Ste 189S
Saint Paul, MN 55114
Phone (651) 332-7474

Interoperability endpoints

  • Direct secure messaging: jeanne.barss.1@13597.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1386901858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 PLYMOUTH BLVD",
            "address_2": "SUITE 200",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554471499",
            "telephone_number": "763-694-6158",
            "fax_number": "763-577-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W STE 189S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551142001",
            "telephone_number": "763-577-2484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3475 Plymouth Blvd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554471499",
            "country_code": "US",
            "telephone_number": "763-694-6158",
            "fax_number": "763-577-1375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARSS",
        "first_name": "JEANNE",
        "middle_name": "L",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MN",
            "license": "D9687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.