Berry Dental El Paso PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22329 Issued in TX

Legal business name

BERRY DENTAL EL PASO PLLC

Practice address

5929 Cromo Dr
El Paso, TX 79912-5572

Phone

(972) 896-9386

NPI assigned

Apr 2, 2014

Last updated

Apr 2, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cecile Nguyen

Title

Owner

Phone

97289689386

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1164840575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 LONGVUE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5929 CROMO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125572",
            "telephone_number": "972-896-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRY DENTAL EL PASO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "CECILE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "97289689386"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Bernal
• Robert John Bernard, MD
• Bernardo Terress the Eternal Youth Home
• Ana Cecilia Bernuy, P.A.-C.
• Jazmin C Berrios, SLP
• Rosa Maria Berry, M.S. CCC-SLP
• Tiffany Berry, SLP-CFY
• David Berumen, COTA
• Kenneth Andrew Berumen, M.D.
• Lori Evelyn Berumen, PA-C

• General Practice Dentistry in El Paso, TX
• Providers in El Paso, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.