Andrew Sean Barak, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

45817 Issued in CA

Practice address

1315 Alhambra Blvd
Suite 340
Sacramento, CA 95816-5244

Phone

(916) 736-3101

Fax

(916) 736-3075

NPI assigned

Aug 29, 2007

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

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Thomas D. Sharples, DDS, Ms, Apc

  • Endodontics
  • Sacramento, CA
  • NPI 1174537468
  NPD (past)

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1275727513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ALHAMBRA BLVD",
            "address_2": "SUITE 340",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165244",
            "telephone_number": "916-736-3101",
            "fax_number": "916-736-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ALHAMBRA BLVD",
            "address_2": "SUITE 340",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165244",
            "telephone_number": "916-736-3101",
            "fax_number": "916-736-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAK",
        "first_name": "ANDREW",
        "middle_name": "SEAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "45817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "45817",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irma L Barajas, RADT
• Joshua Barajas
• Marc Barajas, PHARM.D., BCPS
• Melissa Barajas
• Sophia Maria Barajas
• Aselle Barak, PHARMD
• Itzel Barakat
• Sarah Baran
• Sofia Delores Barandas, BEHAVIOR THERAPIST
• Terrie Frances Barangan, NP

• Endodontics in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.