DR. JACOB LEE BARTHOLD (NPI# 1457613028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457613028 |
| Entity Type | Individual |
| Full Name | DR. JACOB LEE BARTHOLD |
| Credential | D.D.S. |
| Practice Address |
105 E Bridge St Redwood Falls MN 56283-2607 |
| Practice Telephone | 7637466567 |
| Mailing Telephone | 7637466567 |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D13073 | MN | Dental Providers |
| Street Address |
105 E BRIDGE ST |
| City | REDWOOD FALLS |
| State | MN |
| Zip Code | 56283-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356474183 | Timothy Shane Brown | Dentist | 105 E Bridge St, Redwood Falls, MN 56283 | 2007-03-13 |
| 1508424474 | Julia Ann Beyer | Dentist | 105 E Bridge St, Redwood Falls, MN 56283-2607 | 2019-06-05 |
| 1760732804 | Timothy S. Brown, Dds, Pa | Clinic/Center | 105 E Bridge St, Redwood Falls, MN 56283-2607 | 2012-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128153 | Michael W Flinn Dds, Pa | Dentist | 200 Firewood Drive, Redwood, MN 56283 | 2020-09-15 |
| 1851763932 | Thomas A Bruns | Nurse Anesthetist, Certified Registered | 30057 700th Avenue, Redwood Falls, MN 56283 | 2015-10-28 |
| 1073905881 | Cindy Moldan | Registered Nurse | 100 Fallwood Road, Redwood Area Hospital, Redwood Falls, MN 56283 | 2015-03-03 |
| 1922329903 | Amanda J Kittelson | Physician Assistant | Carris Health-redwood, 100 Fallwood Road, Redwood Falls, MN 56283 | 2010-06-14 |
| 1356484513 | Sward-kemp Drug Co Inc | Pharmacy | 207 South Washington Street, Redwood Falls, MN 56283 | 2007-02-15 |
| 1699782169 | Janet L Marti | Nurse Practitioner | 1100 E. Broadway, Affiliated Community Medical Centers, Redwood Falls, MN 56283 | 2006-08-01 |
| 1124094842 | Cynthia K Gronau | Family Medicine | 1100 E Broadway, Redwood Falls, MN 56283 | 2006-02-23 |
| 1063493781 | Thomas C. Gross | Emergency Medicine | 1100 East Broadway, Affiliated Community Medical Centers, Redwood Falls, MN 56283 | 2005-11-09 |
| 1457872434 | Susan Buckley | Physical Therapist | 100 Fallwood Road, Redwood Area Hospital, Redwood Falls, MN 56283 | 2017-06-29 |
| 1336531144 | Dorie Oja | Dietitian, Registered | 100 Fallwood Road, Redwood Area Hospital, Redwood Falls, MN 56283 | 2015-03-03 |
| Find all providers in zip 56283 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649684721 | Timothy S. Brown D.d.s., Pa | Dentist | 513 E Bridge St, Redwood Falls, MN 56283-1123 | 2014-06-17 |
| 1144234899 | Michael William Flinn | Dentist | 200 Firewood Dr, Redwood Falls, MN 56283-1351 | 2006-07-28 |
| 1508424474 | Julia Ann Beyer | Dentist | 105 E Bridge St, Redwood Falls, MN 56283-2607 | 2019-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001149 | Kalyan Chakravarthy Kondreddi | Dentist | 327 Western Ave Ste A, Fergus Falls, MN 56537-2403 | 2020-10-20 |
| 1821696022 | Wyoming Family Dental | Dentist | 5378 East Viking Blvd., Wyoming, MN 55092 | 2020-10-12 |
| 1770190951 | Bluff Creek Dental Pllc | Dentist | 600 Market St Ste 130, Chanhassen, MN 55317-4570 | 2020-09-30 |
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1073128153 | Michael W Flinn Dds, Pa | Dentist | 200 Firewood Drive, Redwood, MN 56283 | 2020-09-15 |
| 1770196891 | Thomas J Hoeffel Dds Pa | Dentist | 2819 Hamline Ave N Ste 104, Roseville, MN 55113-7718 | 2020-08-28 |
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1679182687 | Downtown Dental Center Pllc | Dentist | 825 Nicollet Mall Ste 1427, Minneapolis, MN 55402-2703 | 2020-07-26 |
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1386252344 | Kacie Crowell Green | Dentist | 8900 Walnut St # 459, Rockford, MN 55373-5135 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
| City | REDWOOD FALLS |
| Zip Code | 56283 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.