Active NPI
Steven A. Bartosh, D.D.S.
- General Practice Dentistry
- Munster, IN
National Provider Identifier
1720141831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12006699A
- Practice address
- 1445 Wellington Ter
Munster, IN 46321-4369 - Phone
- (219) 614-1611
- Fax
- (219) 613-1611
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12006699A | IN | Primary |
Addresses
Primary practice location
1445 Wellington Ter
Munster, IN 46321-4369
Mailing address
1445 Wellington Terrrace
Munster, IN 46321
Phone (219) 614-1611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12006699A | Other | IN | STATE DENTIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12006699A | IN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481673600000",
"number": "1720141831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 WELLINGTON TERRRACE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "46321",
"telephone_number": "219-614-1611",
"fax_number": "219-614-1611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 WELLINGTON TER",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463214369",
"telephone_number": "219-614-1611",
"fax_number": "219-613-1611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTOSH",
"first_name": "STEVEN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2016-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12006699A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DENTIST LICENSE",
"identifier": "12006699A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.