C W Bartholomew, DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

12009183B Issued in IN

Legal business name

C W BARTHOLOMEW, DDS, PC

Practice address

3415 S Lafountain St
Suite C
Kokomo, IN 46902-3802

Phone

(765) 453-0291

NPI assigned

Jun 29, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Charles W Bartholomew Jr., DDSNPI 1851462980

Title

Practice Owner

Phone

(765) 453-0291

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles William Bartholomew Jr., DDS

  • General Practice Dentistry
  • Kokomo, IN
  • NPI 1851462980
  NPD (past) Authorized official

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1568813640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 S LAFOUNTAIN ST",
            "address_2": "SUITE C",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023802",
            "telephone_number": "765-453-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 S LAFOUNTAIN ST",
            "address_2": "SUITE C",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023802",
            "telephone_number": "765-453-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C W BARTHOLOMEW, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "BARTHOLOMEW",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "765-453-0291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12009183B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Elizabeth Butts
• Heather Bye, NP
• Dominique Joseph Byrd, OTR
• Kimberly Sue Byrum
• C Hammerly Anesthesia Services LLC
• Julie M Caldwell Harrell, LCSW
• James Calhoun
• Elizabeth M Callane, MA CCC SLP
• Helen Calvin, O.D.
• Melanie Herlinda Cambizaca Alvarado

• Dental Clinic/Center in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.