Organization Active NPI

Gary E. Berner, DDS, PLLC

Doing business as Harbor Dental Gary Berner DDS

  • General Practice Dentistry
  • Oak Harbor, WA
National Provider Identifier
1710921531
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5817 Issued in WA
Legal business name
GARY E. BERNER, DDS, PLLC
Doing business as
Harbor Dental Gary Berner DDS
Practice address
950 E Whidbey Ave
Oak Harbor, WA 98277-2674
Phone
(360) 679-3441
Fax
(360) 240-0537
NPI assigned
Jun 15, 2006
Last updated
Oct 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Authorized official

Name
Dr. Gary E Berner, DDSNPI 1669708921
Title
Director
Phone
(360) 679-3441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5817 WA Primary

Addresses

Primary practice location

950 E Whidbey Ave
Oak Harbor, WA 98277-2674

Mailing address

950 E. Whidbey Ave
Oak Harbor, WA 98277-2674
Phone (360) 679-3441

Other identifiers 1

IdentifierTypeStateIssuer
5046735MedicaidWA

Other names 1

  • Harbor Dental Gary Berner DDS Doing business as

National Provider Directory

National Provider Directory

Locations

950 E Whidbey Ave
Oak Harbor, WA 98277
Phone (360) 679-3441

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1710921531",
    "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": {
        "organization_name": "GARY E. BERNER, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "BERNER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "360-679-3441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "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": [
        {
            "organization_name": "Harbor Dental Gary Berner DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.