Darrell Gene Bartley Jr., DMD

Primary specialty

DentistTaxonomy code 122300000X

License

6761 Issued in KY

Practice address

296 Medpark Drive
Somerset, KY 42503

Phone

(606) 677-0238

Fax

(606) 679-2149

NPI assigned

Aug 20, 2006

Last updated

Jan 16, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Darrell Bartley Jr. Professional name

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Darrell Bartley Jr., DMD, PSC

  • Dentist
  • Somerset, KY
  • NPI 1417002460
  NPD (past) Authorized official

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1548375462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 MEDPARK DRIVE",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42503",
            "telephone_number": "606-677-0238",
            "fax_number": "606-679-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 MEDPARK DRIVE",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42503",
            "telephone_number": "606-677-0238",
            "fax_number": "606-679-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLEY",
        "first_name": "DARRELL",
        "middle_name": "GENE",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "6761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARRELL",
            "last_name": "BARTLEY",
            "suffix": "JR.",
            "credential": "DMD PSC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ashley Kristina Barker, CPSS
• Cindy Barker, M.S.
• Lisa Gail Barnett
• Pamela M Barnett
• Audrey Kay Barron, APRN
• Allison Rebecca Bastin-Muse, ARNP
• Gwenna Natasha Bates, D.M.D.
• Leslie Rhnea Bates
• Kristi Baugh, LPP
• Banessa Beasley, RN

• Dentist in Somerset, KY
• Providers in Somerset, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.