Martin Thomas Barco III

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

120011246A Issued in IN

Practice address

615 N Walnut St
Bloomington, IN 47404-3811

Phone

(812) 332-8290

NPI assigned

Oct 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Martin T Barco, D.D.S., P.C.

  • Dental Clinic/Center
  • Bloomington, IN
  • NPI 1780187674
  NPD (past) Authorized official

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1487843801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 WISHARD BLVD # R4201",
            "address_2": "DEPARTMENT OF ORAL SURGERY AND HOSPITAL DENTISTRY IUPUI",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022872",
            "telephone_number": "317-312-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N WALNUT ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043811",
            "telephone_number": "812-332-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCO",
        "first_name": "MARTIN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "120011246A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200978410",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Louise Bannister
• Brooke Colleen Barada, NP
• Lorelei Jeane Baran-Butler, MA, CCC-SLP
• Samuel Barbash-Riley, LCSW
• Rachel Leah Barber, NP
• Donna Bard, PSY. D
• Jessica Bare, M.S.
• Arianne Mahl Avelino Bargas, PHARMD
• Coda Barger, RBT
• Abbey Barker, M.A., CF-SLP

• General Practice Dentistry in Bloomington, IN
• Providers in Bloomington, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.