Organization Active NPI

Martha Berman, DDS, Inc

  • Dental Clinic/Center
  • Rancho Cucamonga, CA
National Provider Identifier
1316372873
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
50039 Issued in CA
Legal business name
MARTHA BERMAN, DDS, INC
Practice address
7890 Haven Ave Ste 3
Rancho Cucamonga, CA 91730-3072
Phone
(909) 484-2505
Fax
(909) 484-2507
NPI assigned
Sep 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Authorized official

Name
Dr. Martha Berman, DDS
Title
President
Phone
(909) 484-2505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 50039 CA Primary

Addresses

Primary practice location

7890 Haven Ave Ste 3
Rancho Cucamonga, CA 91730-3072

Mailing address

7890 Haven Ave Ste 3
Rancho Cucamonga, CA 91730-3072
Phone (909) 484-2505

National Provider Directory

National Provider Directory

Locations

7890 Haven Ave
Ste 3
Rancho Cucamonga, CA 91730
Phone (909) 484-2505

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1316372873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7890 HAVEN AVE STE 3",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303072",
            "telephone_number": "909-484-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7890 HAVEN AVE STE 3",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303072",
            "telephone_number": "909-484-2505",
            "fax_number": "909-484-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA BERMAN, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-484-2505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "50039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.