Organization Active NPI

Bernal Dental Solutions PLLC

Doing business as Broadway Perfect Dental

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1285979120
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BERNAL DENTAL SOLUTIONS PLLC
Doing business as
Broadway Perfect Dental
Practice address
4040 Broadway St
Houston, TX 77087-4713
Phone
(713) 645-1680
NPI assigned
Dec 4, 2012
Last updated
Dec 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Authorized official

Name
Gohar Bernal, DMD
Title
Owner
Phone
(713) 645-1680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

4040 Broadway St
Houston, TX 77087-4713

Mailing address

4040 Broadway St
Houston, TX 77087-4713

Other names 1

  • Broadway Perfect Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1285979120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 BROADWAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770874713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 BROADWAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770874713",
            "telephone_number": "713-645-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNAL DENTAL SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "BERNAL",
        "authorized_official_first_name": "GOHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-645-1680",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Perfect Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.