Yaakov R Barak, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DS042240 Issued in PA

Practice address

201 Allegheny Ave
Hanover, PA 17331-1866

Phone

(717) 630-2343

NPI assigned

May 4, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1399161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1043620701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6602 AMLEIGH RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ALLEGHENY AVE",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311866",
            "telephone_number": "717-630-2343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7939 Honeygo Blvd Ste 227",
            "address_purpose": "LOCATION",
            "city": "Nottingham",
            "state": "MD",
            "postal_code": "212365907",
            "country_code": "US",
            "telephone_number": "410-931-0250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARAK",
        "first_name": "YAAKOV",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-04",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "16691",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS042240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gladys Bauzon Bakken, RPH, CIP
• Matthew Balaban, MS, LPC, NCC, CADC
• Danielle Balint
• Megan Elizabeth Bankert, PA-C
• Sarah Ann Banks, DPM
• Tammy Barbour, LSW
• Shelby Jean Bare, CRNP
• Mohammad M. Bari, M.D.
• Adam Barnathan, DO
• Deborah Barnes-Forest

• All providers in Hanover, PA
• Endodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.