Gregory V Sarka, DDS,MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

3720 Issued in ME

Practice address

1250 Forest Ave Unit 5
Portland, ME 04103-1889

Phone

(207) 387-2055

Fax

(207) 387-2022

NPI assigned

Oct 24, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2020 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Oral & Maxillofacial Surgery Associates PA

  • Oral and Maxillofacial Surgery (Dentist)
  • South Portland, ME
  • NPI 1780765495
  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1043200868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 FOREST AVE UNIT 5",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031889",
            "telephone_number": "207-387-2055",
            "fax_number": "207-387-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 FOREST AVE UNIT 5",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031889",
            "telephone_number": "207-387-2055",
            "fax_number": "207-387-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARKA",
        "first_name": "GREGORY",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DDS,MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "ME",
            "license": "3720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "ME0736",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigayle Clara Sanstrom, PA
• Marisela Santiago Tirado, LMSWCC
• Blanca Iris Santiago, LCSW
• Jerry Sapan, PH.D.
• Sarah McVicar, LLC
• Eleanor Clare Kelly Sarle, DDS
• Syena Sarrafpour, M. D.
• Carolyn Sass, LCSW
• Susan Barbara Sassaman, CNP
• John R Saucier, MD

• Oral and Maxillofacial Surgery (Dentist) in Portland, ME
• Providers in Portland, ME by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.