Active NPI
Jeremy Richard Kernitsky Barnatan, DDS
- Periodontics
- Boston, MA
National Provider Identifier
1265913867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 38794
- Practice address
- 100 E Newton St Ofc 217
Boston, MA 02118-2308 - Phone
- (617) 638-4762
- NPI assigned
- Aug 22, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DF100093 | MA | |
| Periodontics | 1223P0300X | 38794 | TX | Primary |
| Periodontics | 1223P0300X | DENT5400 | ME |
Addresses
Primary practice location
100 E Newton St Ofc 217
Boston, MA 02118-2308
Mailing address
3737 Cogdell St Apt 463
Houston, TX 77019-1317
Other practice location 1
6769 Lake Woodlands Dr Ste A
The Woodlands, TX 77382-2771
Phone (832) 521-1234
Other practice location 2
485 Main St
Saco, ME 04072-1529
Phone (207) 282-9962
Other names 1
- Jeremy Kernitsky
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DL13741 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1265913867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 COGDELL ST APT 463",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770191317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E NEWTON ST OFC 217",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182308",
"telephone_number": "617-638-4762"
}
],
"practiceLocations": [
{
"address_1": "6769 Lake Woodlands Dr Ste A",
"address_purpose": "LOCATION",
"city": "The Woodlands",
"state": "TX",
"postal_code": "773822771",
"country_code": "US",
"telephone_number": "832-521-1234",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "485 Main St",
"address_purpose": "LOCATION",
"city": "Saco",
"state": "ME",
"postal_code": "040721529",
"country_code": "US",
"telephone_number": "207-282-9962",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KERNITSKY BARNATAN",
"first_name": "JEREMY",
"middle_name": "RICHARD",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-22",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DF100093",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "38794",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "ME",
"license": "DENT5400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEREMY",
"last_name": "KERNITSKY",
"credential": "DDS, DMD, MSD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.