Organization Active NPI

Dr Mathew a Berg DMD

  • Dentist
  • El Paso, TX
National Provider Identifier
1225439169
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23828 Issued in TX
Legal business name
DR MATHEW A BERG DMD
Practice address
1280 Hawkins Blvd
100
El Paso, TX 79925-4957
Phone
(915) 591-5333
NPI assigned
Sep 10, 2014
Last updated
Sep 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Dr. Mathew A Berg, DMD
Title
President
Phone
(915) 591-5313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 23828 TX Primary

Addresses

Primary practice location

1280 Hawkins Blvd
100
El Paso, TX 79925-4957

Mailing address

1280 Hawkins Blvd
100
El Paso, TX 79925-4957

National Provider Directory

National Provider Directory

Locations

1280 Hawkins Blvd
Ste 100
El Paso, TX 79925
Phone (915) 407-1507

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1225439169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 HAWKINS BLVD",
            "address_2": "100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799254957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 HAWKINS BLVD",
            "address_2": "100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799254957",
            "telephone_number": "915-591-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MATHEW A BERG DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-591-5313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.