Active NPI
Joaquin Manuel Berron, DDS
- Prosthodontics
- New Orleans, LA
National Provider Identifier
1942589916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- P-132
- Practice address
- 1100 Florida Ave
New Orleans, LA 70119-2714 - Phone
- (504) 619-8700
- NPI assigned
- Aug 9, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | P-132 | LA | Primary |
Addresses
Primary practice location
1100 Florida Ave
New Orleans, LA 70119-2714
Mailing address
25 Emile Ave
Kenner, LA 70065-3723
Phone (504) 430-3613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P-132 | LA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371686400000",
"number": "1942589916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 EMILE AVE",
"city": "KENNER",
"state": "LA",
"postal_code": "700653723",
"telephone_number": "504-430-3613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 FLORIDA AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701192714",
"telephone_number": "504-619-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRON",
"first_name": "JOAQUIN",
"middle_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-09",
"last_updated": "2013-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "LA",
"license": "P-132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.