Pardeep S Brar, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DE00010052 Issued in WA

Practice address

601 O Ave
Anacortes, WA 98221-1747

Phone

(360) 293-2808

Fax

(360) 293-0306

NPI assigned

Aug 16, 2006

Last updated

Dec 5, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 8, 2018 through Jan 8, 2028

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• North Sound Oral and Facial Surgery P.S.

  • Oral and Maxillofacial Surgery Clinic/Center
  • Anacortes, WA
  • NPI 1700171410
  Authorized official Same address or phone
• Ronald a Pinson DMD Ms PS

  • Oral and Maxillofacial Surgery (Dentist)
  • Anacortes, WA
  • NPI 1770540809
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1447363320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 O AVE",
            "address_2": "PO BOX 38",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982211747",
            "telephone_number": "360-293-2808",
            "fax_number": "360-293-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 O AVE",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982211747",
            "telephone_number": "360-293-2808",
            "fax_number": "360-293-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAR",
        "first_name": "PARDEEP",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE00010052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5053335",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlotte Bodding, M.A., CCC-SLP
• Armen James Bogosian, M.D.
• Karen M Bolton, M.D.
• Carol Sue Boshears
• Matthew Boyle, DO
• Breakthrough Speech, LLC
• Brigham Breton, PA-C
• Linda R Brown, MD
• Sharon P Brown, APRN
• Annie M. Brunson, PT, DPT

• Oral and Maxillofacial Surgery (Dentist) in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.