Individual provider Active NPI

David Joe Barts, D.D.S.

  • General Practice Dentistry
  • Rochester, IN
National Provider Identifier
1427008382
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009107A Issued in IN
Practice address
1360 E 4TH St
Rochester, IN 46975-9103
Phone
(574) 223-7792
Fax
(574) 224-7792
NPI assigned
May 11, 2006
Last updated
Apr 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12009107A IN Primary

Addresses

Primary practice location

1360 E 4TH St
Rochester, IN 46975-9103

Mailing address

1360 E 4TH St
PO Box 667
Rochester, IN 46975-9103
Phone (574) 223-7792

Other identifiers 1

IdentifierTypeStateIssuer
100118590AMedicaidIN

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

LicenseStateTypeSpecialty
12009107AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
David Barts DDS PC General Practice Past Accepting new patients
Rochester Dental Center General Practice 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1427008382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E 4TH ST",
            "address_2": "PO BOX 667",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469759103",
            "telephone_number": "574-223-7792",
            "fax_number": "574-224-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E 4TH ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469759103",
            "telephone_number": "574-223-7792",
            "fax_number": "574-224-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTS",
        "first_name": "DAVID",
        "middle_name": "JOE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009107A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100118590A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.