Individual provider Active NPI

John Joseph Sarbak, D.M.D.

  • General Practice Dentistry
  • Erie, PA
National Provider Identifier
1336356054
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DSO18056L Issued in PA
Practice address
936 W 38TH St
Erie, PA 16508-2531
Phone
(814) 868-3118
NPI assigned
May 16, 2007
Last updated
May 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DSO18056L PA Primary

Addresses

Primary practice location

936 W 38TH St
Erie, PA 16508-2531

Mailing address

936 W 38TH St
Erie, PA 16508-2531
Phone (814) 868-3118

Other names 1

  • Dr. John Joseph Sarbak Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20160527001270 PA Order and Referring Only - DentistPractitioner - Dentist 6608166939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DSO18056LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1336356054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 W 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082531",
            "telephone_number": "814-868-3118",
            "fax_number": "814-866-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 W 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082531",
            "telephone_number": "814-868-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARBAK",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DSO18056L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "SARBAK",
            "middle_name": "JOSEPH",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.