Individual provider Active NPI

John Scott Bernardy, D.D.S.

  • General Practice Dentistry
  • Auburn, ME
National Provider Identifier
1386855419
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3439 Issued in ME
Practice address
155 Center St
BLDG D-9
Auburn, ME 04210-5229
Phone
(207) 783-2521
Fax
(207) 783-3150
NPI assigned
May 24, 2007
Last updated
Jan 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 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 3439 ME Primary

Addresses

Primary practice location

155 Center St
BLDG D-9
Auburn, ME 04210-5229

Mailing address

155 Center St
BLDG D-9
Auburn, ME 04210-5229
Phone (207) 783-2521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20160119002269 ME Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1153622329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3439MEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Dental Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1386855419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CENTER ST",
            "address_2": "BLDG D-9",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042105229",
            "telephone_number": "207-783-2521",
            "fax_number": "207-783-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 CENTER ST",
            "address_2": "BLDG D-9",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042105229",
            "telephone_number": "207-783-2521",
            "fax_number": "207-783-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDY",
        "first_name": "JOHN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "3439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, ME

Sources for this page

Verify at the official NPI Registry.