Active NPI
Neker Esteban Bernuy, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Antonio, TX
National Provider Identifier
1184064107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 28643
- Practice address
- 1455 Austin Hwy
San Antonio, TX 78209-4455 - Phone
- (714) 450-0346
- NPI assigned
- Jul 5, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 28643 | TX | Primary |
Addresses
Primary practice location
1455 Austin Hwy
San Antonio, TX 78209-4455
Mailing address
1720 Grand Avenue Pkwy Apt 4208
Pflugerville, TX 78660-2080
Phone (646) 753-2164
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150814014565 | TX | Order and Referring Only - Oral Surgery | 1254646532 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28643 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373328000000",
"number": "1184064107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 GRAND AVENUE PKWY APT 4208",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786602080",
"telephone_number": "646-753-2164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 AUSTIN HWY",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782094455",
"telephone_number": "714-450-0346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNUY",
"first_name": "NEKER",
"middle_name": "ESTEBAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-05",
"last_updated": "2013-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "28643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.