Martin T Barco, D.D.S., P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

12011246A Issued in IN

Legal business name

MARTIN T BARCO, D.D.S., P.C.

Practice address

615 N Walnut St
Bloomington, IN 47404-3811

Phone

(812) 332-8290

NPI assigned

Mar 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Martin Thomas Barco III, DDSNPI 1487843801

Title

Owner/President

Phone

(754) 346-1481

Specialties & licenses 1

Addresses

Other names 1

• Barco Family Dentistry Doing business as

Locations

Practitioners 1

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

• Martin Thomas Barco III

  • General Practice Dentistry
  • Bloomington, IN
  • NPI 1487843801
  NPD (past) Authorized official

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521158400000",
    "number": "1780187674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N WALNUT ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043811",
            "telephone_number": "812-332-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N WALNUT ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043811",
            "telephone_number": "812-332-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN T BARCO, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A",
        "authorized_official_last_name": "BARCO",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "754-346-1481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12011246A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barco Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ed Marshall, O.D.
• Jennifer Marshall
• Jessica Robin Marshall, HIS
• Alicia Marte, MSN, RN, CNE
• Mary Elise Marte, OD
• Andrea M Martin, PHARMD
• Baileigh J Martin
• Derrick Adam Martin
• Isaac W Martin, LCSW
• Jacquelyn R Martin, CNM

• Dental Clinic/Center in Bloomington, IN
• Providers in Bloomington, 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 Mar 16, 2018; 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.