Ronald Gregory Sarles, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD034897 Issued in CA

Practice address

1301 Broadway
6
Millbrae, CA 94030-1336

Phone

(650) 588-8850

Fax

(650) 588-2302

NPI assigned

Apr 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 Dec 27, 2015 through Dec 27, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023232543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BROADWAY",
            "address_2": "6",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940301336",
            "telephone_number": "650-588-8850",
            "fax_number": "650-588-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BROADWAY",
            "address_2": "6",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940301336",
            "telephone_number": "650-588-8850",
            "fax_number": "650-588-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARLES",
        "first_name": "RONALD",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DD034897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephanie Jer Shyn, DDS
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• General Practice Dentistry in Millbrae, CA
• Providers in Millbrae, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.