NPIMap

Organization Active NPI

Bertsch Family Dentistry LLC

Doing business as Salkeld Family Dental

  • Dental Clinic/Center
  • Fort Wayne, IN
National Provider Identifier
1639892540
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BERTSCH FAMILY DENTISTRY LLC
Doing business as
Salkeld Family Dental
Practice address
12962 Coldwater Rd
Fort Wayne, IN 46845-9517
Phone
(260) 637-4648
NPI assigned
Sep 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Dr. Joshua Bertsch, DMDNPI 1619537552
Title
Dentist, Owner
Phone
(260) 637-4648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

12962 Coldwater Rd
Fort Wayne, IN 46845-9517

Mailing address

12962 Coldwater Rd
Fort Wayne, IN 46845-9517

Other names 2

  • Salkeld Family Dental Doing business as
  • Salkeld Family Dental LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1639892540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12962 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468459517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12962 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468459517",
            "telephone_number": "260-637-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERTSCH FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "BERTSCH",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "DENTIST, OWNER",
        "authorized_official_telephone_number": "260-637-4648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salkeld Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Salkeld Family Dental LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.