Active NPI
Bertram Dental, PLLC
- Dental Clinic/Center
- Bertram, TX
National Provider Identifier
1730968470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- BERTRAM DENTAL, PLLC
- Practice address
- 1220 W State Highway 29
Bertram, TX 78605-4022 - Phone
- (512) 355-2115
- NPI assigned
- Sep 22, 2023
- Last updated
- Sep 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carla Thomas, DDS
- Title
- Owner
- Phone
- (903) 818-2690
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
1220 W State Highway 29
Bertram, TX 78605-4022
Mailing address
1220 W State Highway 29
Bertram, TX 78605-4022
Phone (512) 355-2115
National Provider Directory
National Provider DirectoryLocations
1220 W State Highway 29
Bertram, TX 78605
Phone (512) 355-2115
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Lago Vista, TX
- NPI 1730532094
-
- General Practice Dentistry
- Cleburne, TX
- NPI 1679838643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695340800000",
"number": "1730968470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 W STATE HIGHWAY 29",
"city": "BERTRAM",
"state": "TX",
"postal_code": "786054022",
"telephone_number": "512-355-2115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 W STATE HIGHWAY 29",
"city": "BERTRAM",
"state": "TX",
"postal_code": "786054022",
"telephone_number": "512-355-2115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERTRAM DENTAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-22",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "CARLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "903-818-2690",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bertram, TX
- Ascension Seton (Ascension Seton Bertram Health Center)
- Vicki J Bates, LPC, NCC
- Ber Nursing and Rehabilitation, LP (Bertram Nursing and Rehabilitation)
- Bertram Development Company Inc (Bertram Nursing Home)
- Bertram Nursing and Rehabilitation, LP
- Kristi Nicole Burkhart, D.O.
- Community Care Inc
- Community Care Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.