Active NPI
Andre Barakat, DDS
- General Practice Dentistry
- Carmichael, CA
National Provider Identifier
1881249068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 104236
- Practice address
- 6940 Fair Oaks Blvd Ste a
Carmichael, CA 95608-3316 - Phone
- (916) 972-0770
- NPI assigned
- Aug 5, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 104236 | CA | Primary |
Addresses
Primary practice location
6940 Fair Oaks Blvd Ste a
Carmichael, CA 95608-3316
Mailing address
6940 Fair Oaks Blvd Ste a
Carmichael, CA 95608-3316
Phone (916) 972-0770
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104236 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1881249068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6940 FAIR OAKS BLVD STE A",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956083316",
"telephone_number": "916-972-0770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6940 FAIR OAKS BLVD STE A",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956083316",
"telephone_number": "916-972-0770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARAKAT",
"first_name": "ANDRE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-05",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "104236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.