Bertram Henick, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

16175 Issued in CA

Practice address

26560 Agoura Rd
Suite 102
Calabasas, CA 91302-1926

Phone

(818) 871-9416

Fax

(818) 865-2079

NPI assigned

Sep 28, 2006

Last updated

Apr 27, 2010By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1073605911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26560 AGOURA RD",
            "address_2": "SUITE 102",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021926",
            "telephone_number": "818-871-9416",
            "fax_number": "818-865-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26560 AGOURA RD",
            "address_2": "SUITE 102",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021926",
            "telephone_number": "818-871-9416",
            "fax_number": "818-865-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENICK",
        "first_name": "BERTRAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "16175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hearstone Audiology PC
• Heartbeat Healthcare Services, Inc.
• Wendy Hecht, MA, LMFT
• Heimberg Neuropsychology - Psychological Testing Inc
• Brandon Freiberg Heimberg, PSYD
• Sharon Hensel-Cohen
• Moran Hermesh, MS, RDN, IFNCP
• Erika Marie Hernandez, M.A., LMFT
• Katherine Hernas, LMFT
• Cynthia Herrera

• Periodontics in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.