Justin Christopher Berman, DMD, Inc.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

JUSTIN CHRISTOPHER BERMAN, DMD, INC.

Doing business as

Smile Republic Orthodontics

Practice address

25425 Orchard Village Rd Ste 230
Santa Clarita, CA 91355-2959

Phone

(661) 259-2960

NPI assigned

Jan 11, 2023

Organization subpart

Yes

Parent organization

JUSTIN CHRISTOPHER BERMAN, DMD, INC.As reported in NPPES

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

Authorized official

Name

Dr. Justin Christopher Berman, DMDNPI 1265957351

Title

Ceo

Phone

(786) 351-9233

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Smile Republic Orthodontics Doing business as

Part of

Justin Christopher Berman DMD Inc

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.

• Justin Christopher Berman, DMD

  • Pediatric Dentistry
  • Valencia, CA
  • NPI 1265957351
  Authorized official Same address or phone

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1902510183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25425 ORCHARD VILLAGE RD STE 230",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913552959",
            "telephone_number": "661-259-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25425 ORCHARD VILLAGE RD STE 230",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913552959",
            "telephone_number": "661-259-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN CHRISTOPHER BERMAN, DMD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JUSTIN CHRISTOPHER BERMAN, DMD, INC.",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-351-9233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770065963",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD OF CALIFORNIA",
            "identifier": "102372",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Republic Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sophia Kababjian
• Joanna Kaestle
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• Orthodontics and Dentofacial Orthopedics Dentistry in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.

Verify at the official NPI Registry.