Individual provider Active NPI

Gregory Jay Berman, D.D.S., M.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • El Paso, TX
National Provider Identifier
1558476705
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
25835 Issued in TX
Practice address
1971 North Zaragoza Road Building a
El Paso, TX 79938
Phone
(248) 229-7387
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901019030 MI
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DD3357 NM
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 25835 TX Primary

Addresses

Primary practice location

1971 North Zaragoza Road Building a
El Paso, TX 79938

Mailing address

11458 Napolske CT
El Paso, TX 79936-3326
Phone (248) 229-7387

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
2901019030MIMDGeneral Practice Dentistry
DD3357NMMDOrthodontics and Dentofacial Orthopedic Dentist
25835TXMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1558476705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11458 NAPOLSKE CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363326",
            "telephone_number": "248-229-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 NORTH ZARAGOZA ROAD BUILDING A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79938",
            "telephone_number": "248-229-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "GREGORY",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019030",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NM",
            "license": "DD3357",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "25835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.