Active NPI
Todd Bertman, DMD
- General Practice Dentistry
- New York, NY
National Provider Identifier
1144438102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 048272
- Practice address
- 55 E 9TH St
New York, NY 10003-6311 - Phone
- (212) 388-1170
- Fax
- (212) 388-1181
- NPI assigned
- May 21, 2007
- Last updated
- Aug 23, 2016
- 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 | 048272 | NY | Primary |
Addresses
Primary practice location
55 E 9TH St
New York, NY 10003-6311
Mailing address
55 East 9TH Street
New York, NY 10003
Phone (212) 388-1170
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenwich Village Dental Arts PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471910400000",
"number": "1144438102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 EAST 9TH STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "212-388-1170",
"fax_number": "212-388-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 E 9TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100036311",
"telephone_number": "212-388-1170",
"fax_number": "212-388-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTMAN",
"first_name": "TODD",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2016-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "048272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.