Bernard R. Gavron D.D.S., P.C.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DD1602 Issued in NM

Legal business name

BERNARD R. GAVRON D.D.S., P.C.

Practice address

465 St. Michaels Dr.
Ste 208
Santa Fe, NM 87505

Phone

(505) 988-7356

Fax

(505) 992-8950

NPI assigned

Mar 4, 2011

Last updated

Mar 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bernard Ray Gavron, D.D.S.NPI 1003897182

Title

President

Phone

(505) 988-7356

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Bernard Ray Gavron, DDS

  • Endodontics
  • Santa Fe, NM
  • NPI 1003897182
  NPD (past) Authorized official

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1841598588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 ST. MICHAELS DR.",
            "address_2": "STE 208",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505",
            "telephone_number": "505-988-7356",
            "fax_number": "505-992-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 ST. MICHAELS DR.",
            "address_2": "STE 208",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505",
            "telephone_number": "505-988-7356",
            "fax_number": "505-992-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARD R. GAVRON D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "GAVRON",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-988-7356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NM",
            "license": "DD1602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Berlyn, LISW ACSW
• Fred Berman
• Jennifer Bermudez-Trujillo
• Rebecca Lynne Bermudez, LISW, RIMHC
• Veronica Bernal, BMS
• Sameul A Berne, OD, FCOVD
• Jennifer Berning, LCSW
• Christopher Bernschein, MFT
• William Morris Bernstein, PH.D.
• Aaron D Berry, PTA

• Endodontics in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Endodontics in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.