Active NPI
Jeanne L Barss, DDS, MS
- Periodontics
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- D9687
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Maxillofacial 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
| License | State | Type | Specialty |
|---|---|---|---|
| D9687 | MN | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Head and Neck Pain Clinic, PA | Current | Accepting new patients | |
| Minnesota Head and Neck Pain Clinic, PA | Current | 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
- 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.
-
- Specialist
- Saint Paul, MN
- NPI 1104850155
-
- Specialist
- Burnsville, MN
- NPI 1255715181
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.