Active NPI
Valeria Denisse Tirado Berrios
- Student in an Organized Health Care Education/Training Program
- New Hartford, NY
National Provider Identifier
1336948736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1714 Burrstone Rd
New Hartford, NY 13413-1002 - Phone
- (315) 917-1625
- NPI assigned
- Mar 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Dentist | 122300000X | 003550 | PR |
Addresses
Primary practice location
1714 Burrstone Rd
New Hartford, NY 13413-1002
Mailing address
111 Hospital Dr
Attn: Credentialing
Utica, NY 13502-2517
Phone (315) 624-6099
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
| License | State | Type | Specialty |
|---|---|---|---|
| 003550 | PR | MD | Dentist |
Practice roles
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Utica, NY
- NPI 1306573753
-
- Family Medicine Physician
- Utica, NY
- NPI 1770690737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1336948736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 HOSPITAL DR",
"address_2": "ATTN: CREDENTIALING",
"city": "UTICA",
"state": "NY",
"postal_code": "135022517",
"telephone_number": "315-624-6099",
"fax_number": "315-624-6744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1714 BURRSTONE RD",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134131002",
"telephone_number": "315-917-1625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIRADO BERRIOS",
"first_name": "VALERIA",
"middle_name": "DENISSE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-10",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "003550",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hartford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.