Tae HJ Barto DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08632 Issued in IA

Legal business name

TAE HJ BARTO DDS

Practice address

6057 SE 14TH St
Des Moines, IA 50320-1704

Phone

(515) 285-4759

Fax

(515) 287-2948

NPI assigned

Apr 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Tae Barto, D.D.S.NPI 1356578975

Title

President

Phone

(515) 783-5564

Specialties & licenses 1

Addresses

Other names 1

• Southside Dental Clinic Doing business as

Locations

Practitioners 2

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

• Tae Jaymes Barto, D.D.S.

  • General Practice Dentistry
  • Des Moines, IA
  • NPI 1356578975
  NPD (past) Authorized official
• Keith Allan Colwell, DDS

  • General Practice Dentistry
  • Des Moines, IA
  • NPI 1114098340
  NPD (past)

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1669738902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6057 SE 14TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503201704",
            "telephone_number": "515-285-4759",
            "fax_number": "515-287-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6057 SE 14TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503201704",
            "telephone_number": "515-285-4759",
            "fax_number": "515-287-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAE HJ BARTO DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "BARTO",
        "authorized_official_first_name": "TAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-783-5564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southside Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eileen Dohn Swoboda, MSW
• Synergy Clinical Services of Central Iowa LLC
• Synergy Clinical Services, L.L.C.
• Philip Sterling Taber, D.O.
• Anthony E Tabish, DO
• Gabriella Tagliapietra, PHARMD
• Tai Studies Center
• Tailored Steps ABA LLC
• Robert Dut Talang
• Kenneth Wlson Talcott, M.D.

• General Practice Dentistry in Des Moines, IA
• Providers in Des Moines, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.