Active NPI
Bernard Mario Sarkis, DMD
- Dentist
- San Mateo, CA
National Provider Identifier
1770100372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 107219
- Practice address
- 100 S Ellsworth Ave Ste 601
San Mateo, CA 94401-3928 - Phone
- (650) 342-9941
- NPI assigned
- Jun 30, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1858718 | MA | |
| Dentist | 122300000X | 107219 | CA | Primary |
Addresses
Primary practice location
100 S Ellsworth Ave Ste 601
San Mateo, CA 94401-3928
Mailing address
1471 High St
Westwood, MA 02090-3026
Phone (617) 763-3394
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107219 | CA | MD | Dentist |
| DN1858718 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor Health Services, Inc. | Current | Accepting new patients | |
| Harbor Health Services Inc | Current | Accepting new patients | |
| Harbor Health Services, Inc. | Current | Accepting new patients | |
| Sylvie M Galerneau, DMD | Dentist | Past | Accepting new patients |
Locations
250 Mount Vernon St
Dorchester, MA 02125
Phone (617) 288-1140
1135 Morton St
Mattapan, MA 02126
Phone (617) 533-2300
516 Route 134
Ste 12
South Dennis, MA 02660
Phone (508) 430-7710
Interoperability endpoints
- bsarkis762427@direct.ochin.org
Organizations & group practices 4
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.
-
- Community Health Clinic/Center
- Dorchester, MA
- NPI 1659330496
-
- Community Health Clinic/Center
- Dorchester, MA
- NPI 1881692366
-
- Community Health Clinic/Center
- Plymouth, MA
- NPI 1568892859
-
- Dentist
- San Mateo, CA
- NPI 1780739086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1770100372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1471 HIGH ST",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "020903026",
"telephone_number": "617-763-3394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S ELLSWORTH AVE STE 601",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013928",
"telephone_number": "650-342-9941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARKIS",
"first_name": "BERNARD",
"middle_name": "MARIO",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-30",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1858718",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "107219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.