Joaquin Berdeja Martini, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

960559 Issued in ZZ

Practice address

Hermanos Escobar 4006-B
Juarez, CHIHUAHUA 32540
MX

Phone

(915) 315-8900

NPI assigned

Sep 5, 2019

Sex

Male

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Julia Soto

  • General Practice Dentistry
  • Socorro, TX
  • NPI 1013689801
  NPD

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1730738501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11425 FLOR LIATRIS DR",
            "city": "SOCORRO",
            "state": "TX",
            "postal_code": "799273393",
            "telephone_number": "915-215-9491"
        },
        {
            "country_code": "MX",
            "country_name": "Mexico",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "HERMANOS ESCOBAR 4006-B",
            "city": "JUAREZ",
            "state": "CHIHUAHUA",
            "postal_code": "32540",
            "telephone_number": "915-315-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERDEJA MARTINI",
        "first_name": "JOAQUIN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ZZ",
            "license": "960559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.