Individual provider Active NPI

Wendy Michelle Beratan, DMD

  • General Practice Dentistry
  • Hatboro, PA
National Provider Identifier
1316240765
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS029489L Issued in PA
Practice address
865 W County Line Rd
Hatboro, PA 19040-1110
Phone
(215) 293-0909
Fax
(215) 293-0901
NPI assigned
Dec 7, 2010
Last updated
Dec 7, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS029489L PA Primary

Addresses

Primary practice location

865 W County Line Rd
Hatboro, PA 19040-1110

Mailing address

865 W County Line Rd
Hatboro, PA 19040-1110
Phone (215) 293-0909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS029489LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Meetinghouse Dental Care, Inc. General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1316240765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 W COUNTY LINE RD",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190401110",
            "telephone_number": "215-293-0909",
            "fax_number": "215-293-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 W COUNTY LINE RD",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190401110",
            "telephone_number": "215-293-0909",
            "fax_number": "215-293-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERATAN",
        "first_name": "WENDY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029489L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.