Individual provider Active NPI

Charles Stuart Barotz, D.D.S.

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1891838918
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
HD104659 Issued in CO
Practice address
303 16TH St
Suite 250
Denver, CO 80202-5031
Phone
(303) 595-4994
Fax
(303) 595-0583
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
No

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
General Practice Dentistry 1223G0001X HD104659 CO Primary

Addresses

Primary practice location

303 16TH St
Suite 250
Denver, CO 80202-5031

Mailing address

303 16TH St
Suite 250
Denver, CO 80202-5031
Phone (303) 595-4994

Other names 1

  • Charles S Barotz III Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20231206001919 CO Order and Referring Only - DentistPractitioner - Dentist 4789996554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
HD104659COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Barotz Dental General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891838918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 16TH ST",
            "address_2": "SUITE 250",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802025031",
            "telephone_number": "303-595-4994",
            "fax_number": "303-595-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 16TH ST",
            "address_2": "SUITE 250",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802025031",
            "telephone_number": "303-595-4994",
            "fax_number": "303-595-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAROTZ",
        "first_name": "CHARLES",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "HD104659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "BAROTZ",
            "middle_name": "S",
            "suffix": "III",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.