Active NPI
Brenda D Berkal DMD PC
- Dentist
- Derry, NH
National Provider Identifier
1174524680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1712
- Legal business name
- BRENDA D BERKAL DMD PC
- Practice address
- 4 Birch St
Derry, NH 03038-2136 - Phone
- (603) 434-4090
- Fax
- (603) 434-7940
- NPI assigned
- Aug 9, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brenda Diane Berkal, DMD
- Title
- Authorized Official
- Phone
- (603) 434-4090
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1712 | NH | Primary |
Addresses
Primary practice location
4 Birch St
Derry, NH 03038-2136
Mailing address
4 Birch St
Derry, NH 03038-2136
Phone (603) 434-4090
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1174524680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 BIRCH ST",
"city": "DERRY",
"state": "NH",
"postal_code": "030382136",
"telephone_number": "603-434-4090",
"fax_number": "603-434-7940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 BIRCH ST",
"city": "DERRY",
"state": "NH",
"postal_code": "030382136",
"telephone_number": "603-434-4090",
"fax_number": "603-434-7940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRENDA D BERKAL DMD PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BERKAL",
"authorized_official_first_name": "BRENDA",
"authorized_official_middle_name": "DIANE",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "603-434-4090",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NH",
"license": "1712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Derry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.