Active NPI
John a. Berchelmann Jr., DDS
- General Practice Dentistry
- San Antonio, TX
National Provider Identifier
1750627212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- B16811
- Legal business name
- JOHN A. BERCHELMANN JR., DDS
- Practice address
- 608 Fair Ave
San Antonio, TX 78223-1304 - Phone
- (210) 534-8051
- Fax
- (210) 532-2761
- NPI assigned
- Jan 2, 2013
- Last updated
- Jan 2, 2013
- 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
- Dr. John Anthony Berchelmann Jr., DDS
- Title
- Owner
- Phone
- (210) 534-8051
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | B12916 | TX | |
| General Practice Dentistry | 1223G0001X | B16811 | TX | Primary |
Addresses
Primary practice location
608 Fair Ave
San Antonio, TX 78223-1304
Mailing address
608 Fair Ave
San Antonio, TX 78223-1304
Phone (210) 534-8051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1458259-01 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
608 Fair Ave
San Antonio, TX 78223
Phone (210) 336-8478
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.
-
- General Practice Dentistry
- San Antonio, TX
- NPI 1255445318
-
- Dentist
- San Antonio, TX
- NPI 1902985815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357084800000",
"number": "1750627212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 FAIR AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782231304",
"telephone_number": "210-534-8051",
"fax_number": "210-532-2761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 FAIR AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782231304",
"telephone_number": "210-534-8051",
"fax_number": "210-532-2761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN A. BERCHELMANN JR., DDS",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-02",
"last_updated": "2013-01-02",
"status": "A",
"authorized_official_last_name": "BERCHELMANN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-534-8051",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "B12916",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "B16811",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1458259-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Joel a Rodriguez MD PLLC (RioSurgical Specialists of Texas)
- Joel Z. Taylor, M.D., P.a.
- Joeming W. Dunn, M.D.
- Ellen Johansing, CCC-SLP, M.S.
- John a Evans, MD, PA
- John Adams, M.D. Psychioatry, PLLC
- John Adams, MD Psychiatry PLLC
- John B. Metersky, M.D.
- John D Cochran DDS Inc
- John D. Rodriguez, M.D., P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.