Tarkis Bernard Barsamian, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3136 Issued in WI

Practice address

161 W Sunset Dr Ste 202
Waukesha, WI 53189-7674

Phone

(262) 544-1100

Fax

(262) 544-1572

NPI assigned

Jan 16, 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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063564755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 W SUNSET DR STE 202",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531897674",
            "telephone_number": "262-544-1100",
            "fax_number": "262-544-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 W SUNSET DR STE 202",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531897674",
            "telephone_number": "262-544-1100",
            "fax_number": "262-544-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSAMIAN",
        "first_name": "TARKIS",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sienna Marie Barillas
• Ezzideen Barjes Alrawi, MD
• Andrew Barnhill, MSW
• Margaret Barrett
• April Jill Barron, MS, RD, CSR, CD
• Nicole M Bartelt, APNP
• Stephen R Bartos, MD
• Luisa Bastian
• Chelsee Bates
• Charlotte Rose Bauer, RDH

• General Practice Dentistry in Waukesha, WI
• Providers in Waukesha, WI by specialty
• General Practice Dentistry in Wisconsin

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.