Mark D. Berman DDS, MD, PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

6987 Issued in CO

Legal business name

MARK D. BERMAN DDS, MD, PC

Practice address

8200 E Belleview Ave
Suite 515E
Greenwood Village, CO 80111

Phone

(303) 694-1700

Fax

(303) 772-6825

NPI assigned

Mar 7, 2008

Reactivated

May 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mark D Berman, DDS MD PC

Title

Oral Surgeon Owner

Phone

(303) 694-1700

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1700056504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 E BELLEVIEW AVE",
            "address_2": "SUITE 515E",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "80111",
            "telephone_number": "303-694-1700",
            "fax_number": "303-772-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 E BELLEVIEW AVE",
            "address_2": "SUITE 515E",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "80111",
            "telephone_number": "303-694-1700",
            "fax_number": "303-772-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D. BERMAN DDS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2014-05-14",
        "deactivation_date": "2014-04-07",
        "reactivation_date": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ORAL SURGEON OWNER",
        "authorized_official_telephone_number": "303-694-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MD PC"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "6987",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "2600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02069870",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marette
• Gregory M Margolin, DO
• Maria D. Munoz LLC
• Josephine Zoraida Marin, MFTC.0013924
• Melinda Marino
• Terra Marks, PTA
• Anahi Marquez Carmona
• Leslie Marquez
• Maria D Marquez
• Lisa K. Marranzino, MA, LPC

• Oral and Maxillofacial Surgery (Dentist) in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.