Individual provider Active NPI

Evangelos Bartsokas, D.D.S.

  • Dentist
  • Newport Beach, CA
National Provider Identifier
1457701294
Registry record updated Oct 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS102423 Issued in CA
Practice address
3333 W Coast Hwy Ste 303
Newport Beach, CA 92663-4041
Phone
(949) 650-6111
NPI assigned
Jun 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS040949 PA
Dentist 122300000X DDS102423 CA Primary

Addresses

Primary practice location

3333 W Coast Hwy Ste 303
Newport Beach, CA 92663-4041

Mailing address

3333 W Coast Hwy Ste 303
Newport Beach, CA 92663-4041

Other practice location 1

3410 Grand Ave Ste F
Chino Hills, CA 91709
Phone (909) 364-0027

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS102423CAMDDentist
DS040949PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rodgers and Sambangi Dental Corporation 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633132800000",
    "number": "1457701294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 W COAST HWY STE 303",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W COAST HWY STE 303",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634041",
            "telephone_number": "949-650-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3410 Grand Ave Ste F",
            "address_purpose": "LOCATION",
            "city": "Chino Hills",
            "state": "CA",
            "postal_code": "91709",
            "country_code": "US",
            "telephone_number": "909-364-0027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTSOKAS",
        "first_name": "EVANGELOS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2021-10-02",
        "certification_date": "2021-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040949",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS102423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.