John Anthony Berchelmann Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16811 Issued in TX

Practice address

608 Fair Ave
San Antonio, TX 78223-1304

Phone

(210) 534-8051

Fax

(210) 532-2761

NPI assigned

Aug 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John a. Berchelmann Jr., DDS

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1750627212
  NPD (past) Authorized official

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255445318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 FAIR AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782231304",
            "telephone_number": "210-534-8051",
            "fax_number": "210-532-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 FAIR AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782231304",
            "telephone_number": "210-534-8051",
            "fax_number": "210-532-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERCHELMANN",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Berardelli
• Andrea Berardi
• Laura Berardo
• Peter V Berardo, M.D.
• Julio Manuel Beras-Matos, MD
• Emily Anne Berenson, MS, CGC
• Jackson Berg, DC
• Kelsi Berg
• Samuel Paul Berg, RN
• Gail Theresa Bergen X, DA

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, 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 Jul 8, 2007; 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.

Verify at the official NPI Registry.