Jacquelyn M Gomez-Bartek, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DD2992 Issued in NM

Practice address

550B Saint Michaels Dr Ste 2
Santa Fe
Santa Fe, NM 87505-7604

Phone

(505) 471-7000

NPI assigned

Jun 10, 2008

Last updated

Oct 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 23, 2019 through Oct 23, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Dental del Sol, LLC

  • Dental Clinic/Center
  • Santa Fe, NM
  • NPI 1962889030
  NPD (past) Authorized official

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1902066335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 AVENIDA RINCON UNIT 105",
            "address_2": "SANTA FE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875066009",
            "telephone_number": "505-310-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550B SAINT MICHAELS DR STE 2",
            "address_2": "SANTA FE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057604",
            "telephone_number": "505-471-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ-BARTEK",
        "first_name": "JACQUELYN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD2992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goldenheart Care LLC
• Nicole B Golding, M.D.
• Aaron Samson Goldstein
• Morton H Goldstein, M.D.
• Avrum Golenberg
• Georgina F. Gomez-Lieberman, CNP
• Anita Paiz Gomez, M.D.
• Destini Rae Gomez
• Heaven Leigh Gomez
• Leticia Racquel Gomez, SLP

• Dentist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.