Individual provider Active NPI

Barton William Putnam, D.D.S., M.S.D.

  • Endodontics
  • Olathe, KS
National Provider Identifier
1689768400
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
6971 Issued in KS
Practice address
16093 W 135TH St Ste a
Olathe, KS 66062-1518
Phone
(913) 829-0060
Fax
(913) 829-3050
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 6971 KS Primary

Addresses

Primary practice location

16093 W 135TH St Ste a
Olathe, KS 66062-1518

Mailing address

16093 W 135TH St Ste a
Olathe, KS 66062-1518
Phone (913) 829-0060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140501000644 KS Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2365675147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6971KSMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689768400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16093 W 135TH ST STE A",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621518",
            "telephone_number": "913-829-0060",
            "fax_number": "913-829-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16093 W 135TH ST STE A",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621518",
            "telephone_number": "913-829-0060",
            "fax_number": "913-829-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "BARTON",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "KS",
            "license": "6971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.