Active NPI
James Edward Barta, DDS
- Pediatric Dentistry
- Eugene, OR
National Provider Identifier
1396067955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 5897
- Practice address
- 2215 Willamette St
Suite a
Eugene, OR 97405-2847 - Phone
- (541) 345-4076
- Fax
- (541) 686-4834
- NPI assigned
- Feb 24, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 5897 | OR | Primary |
Addresses
Primary practice location
2215 Willamette St
Suite a
Eugene, OR 97405-2847
Mailing address
2215 Willamette St
Suite a
Eugene, OR 97405-2847
Phone (541) 345-4076
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5897 | Other | OR | STATE LICENSE 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentistry for Children NW LLC | Pediatric Dentistry | Past | Accepting new patients |
| Matt W Anderson DDS PC | Pediatric Dentistry | Past | Accepting new patients |
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.
-
- Pediatric Dentistry
- Eugene, OR
- NPI 1801902101
-
- Pediatric Dentistry
- Eugene, OR
- NPI 1114493582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266969600000",
"number": "1396067955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 WILLAMETTE ST",
"address_2": "SUITE A",
"city": "EUGENE",
"state": "OR",
"postal_code": "974052847",
"telephone_number": "541-345-4076",
"fax_number": "541-686-4834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 WILLAMETTE ST",
"address_2": "SUITE A",
"city": "EUGENE",
"state": "OR",
"postal_code": "974052847",
"telephone_number": "541-345-4076",
"fax_number": "541-686-4834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTA",
"first_name": "JAMES",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-24",
"last_updated": "2010-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OR",
"license": "5897",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "5897",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.