Richard David Bertetti, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5549 Issued in LA

Practice address

3501 Behrman PL
New Orleans, LA 70114-8201

Phone

(917) 226-6003

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

State licenses

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1477656015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 BEHRMAN PL",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701148201",
            "telephone_number": "917-226-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 BEHRMAN PL",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701148201",
            "telephone_number": "917-226-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTETTI",
        "first_name": "RICHARD",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": "5549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA STATE DENTAL LICENSE",
            "identifier": "5549",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Venetia Berry
• Ashleigh Berryhill, LMSW
• Susan C Berryhill, RN
• Keelie Bertaut
• Katie Bertel, FNP
• Jade Berthelot
• Joshua Kevin Berthelot, PT, DPT
• Erica Bertini, FNP-BC
• Cyd Alyse Bertrand, ATC, LAT
• Jennifer Bertsch, MD

• Oral and Maxillofacial Surgery (Dentist) in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.