Active NPI
David Joe Barts, D.D.S.
- General Practice Dentistry
- Rochester, IN
National Provider Identifier
1427008382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12009107A
- 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, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100118590A | Medicaid | IN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12009107A | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Rochester, IN
- NPI 1134515810
-
- General Practice Dentistry
- Rochester, IN
- NPI 1962850750
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.