Thikamphaa Bertrand, D.D.S

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

021002682 Issued in NY

Practice address

1250 N Mill St Ste 100
Naperville, IL 60563-6305

Phone

(630) 995-9107

NPI assigned

Jun 22, 2012

Last updated

Apr 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1639432776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 KEYSTONE AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051012",
            "telephone_number": "703-615-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 N MILL ST STE 100",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605636305",
            "telephone_number": "630-995-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTRAND",
        "first_name": "THIKAMPHAA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "021002682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Lynn Bernholdt
• Mary Kay C Berres, LPCP
• Anita Denise Berry, CNP
• Candecia Berry
• Missy Ann Berry
• Nicholas M Bertucci, DO
• Karin M Bertulis, PT, MPT
• Taylor Marie Berube
• Damon R Bescia, DPT OCS SCS FAAOMPT
• Hany Beshara, P.T

• Endodontics in Naperville, IL
• Providers in Naperville, IL by specialty
• Endodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.