Organization Active NPI

Brenda D Berkal DMD PC

  • Dentist
  • Derry, NH
National Provider Identifier
1174524680
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1712 Issued in NH
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.