Active NPI
Gregory Jay Berman, D.D.S., M.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- El Paso, TX
National Provider Identifier
1558476705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 25835
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901019030 | MI | MD | General Practice Dentistry |
| DD3357 | NM | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 25835 | TX | MD | Orthodontics 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.