John Gerard Bercier, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

17177 Issued in TX

Practice address

10440 N Central Expy # 660
Dallas, TX 75231-2221

Phone

(972) 644-4867

Fax

(972) 644-4860

NPI assigned

Jan 9, 2007

Last updated

Nov 4, 2020By 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

Credentials

Master of Science

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 Gerard Bercier DDS, Ms, PC

  • Periodontics
  • Dallas, TX
  • NPI 1275866972
  NPD (past) Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1477602274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 SHENANDOAH ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752052025",
            "telephone_number": "972-754-6986",
            "fax_number": "972-644-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10440 N CENTRAL EXPY # 660",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312221",
            "telephone_number": "972-644-4867",
            "fax_number": "972-644-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERCIER",
        "first_name": "JOHN",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "17177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benzel C Macmaster MD PA
• Maria Del Pilar Berastain
• Rafic Fouad Berbarie, M.D.
• Courtney Johnson Berberich
• Matthew Berchuck, M.D.
• Maryam S Berenberg, MS CCC-SLP
• Barbara L. Berendzen, LCDC
• Tanya Berent, LPC
• Lauren Ashley Bereuter, AGACNP-BC
• Alan G Berg, DO

• Periodontics in Dallas, TX
• Providers in Dallas, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.