Robin Simon Berrin, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD 2004 Issued in NM

Practice address

1209 Bonita St
Grants, NM 87020-2103

Phone

(505) 876-4034

NPI assigned

Feb 6, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in TX

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

State licenses

Practice roles

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.

• Derrick Baca DDS LLC

  • General Practice Dentistry
  • Grants, NM
  • NPI 1902214406

  General Practice

  NPD (past)
• Patricia B. Valdivia D.D.S.,P.C.

  • General Practice Dentistry
  • Grants, NM
  • NPI 1386817765

  General Practice

  NPD (past)

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104898840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 CAESAR DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014974",
            "telephone_number": "505-863-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 BONITA ST",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870202103",
            "telephone_number": "505-876-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRIN",
        "first_name": "ROBIN",
        "middle_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD 2004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Renee Balok, RN, IBCLC
• Jeremy Michael Barnes
• Noelle Baroody, PA-C, DOM
• Tamara Bennett, RN
• Shanelle Amber Benton, CSW / PSR INSTRUCTOR
• Bestcare Pharmacy Grants LLC
• Bethphage
• Bethphage Mission West
• Beverly Michael
• Chander S Bhatia, MD

• All providers in Grants, NM
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.