Gary E Berner, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5817 Issued in WA

Practice address

950 E Whidbey Ave
Oak Harbor, WA 98277-2674

Phone

(360) 679-3441

Fax

(360) 240-0537

NPI assigned

Oct 21, 2009

Last updated

Aug 20, 2012By the provider in NPPES

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 WA

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

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.

• Gary E. Berner, DDS, PLLC

  dba Harbor Dental Gary Berner DDS

  • General Practice Dentistry
  • Oak Harbor, WA
  • NPI 1710921531
  NPD (past) Authorized official

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345420800000",
    "number": "1669708921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E WHIDBEY AVE",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982772674",
            "telephone_number": "360-679-3441",
            "fax_number": "360-240-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E WHIDBEY AVE",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982772674",
            "telephone_number": "360-679-3441",
            "fax_number": "360-240-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNER",
        "first_name": "GARY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-21",
        "last_updated": "2012-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5046735",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Benton
• Sarah Berg, LPN BAWS
• Christian Bergeron, MD
• Jamie Berglund
• Michael Berkimer, LMT
• Sarah Emily Bersch, BACHELORS
• Jane E Beshore, PHD
• Daniel C Best, O.D.
• John R Beumer, M.D.
• Loretta Diane Bezold, RN

• General Practice Dentistry in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.