BERKS ORTHODONTICS, PC (NPI# 1356617989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356617989 |
| Entity Type | Organization |
| Organization Name | BERKS ORTHODONTICS, PC |
| Practice Address |
5318 Allentown Pike Temple PA 19560-1249 |
| Practice Telephone | 6102237777 |
| Mailing Telephone | 6102237777 |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |
| Authorized Official Name | DR. JASON MICHAEL HARTMAN (PRESIDENT/ORTHODONTIST) |
| Authorized Official Telephone | 6103343278 |
| Authorized Official Credential | D.M.D., M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DS038055 | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1023923970001 | 05 |
| Street Address |
5318 ALLENTOWN PIKE |
| City | TEMPLE |
| State | PA |
| Zip Code | 19560-1249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760911127 | Willie Marvin Hutchinson | Counselor | 1017 Highview Court, Temple, PA 19560 | 2017-06-08 |
| 1295981082 | Giant Food Stores, LLC | Durable Medical Equipment & Medical Supplies | 4320 N. 5th Street Hwy, Temple, PA 19560 | 2008-08-12 |
| 1174691802 | Donna Marie Di Jinio | Dentist | 4729 Kutztown Road, Temple, PA 19560 | 2006-12-01 |
| 1437176252 | Muhlenberg Medical Associates | Internal Medicine | 4201 Kutztown Road, Temple, PA 19560 | 2006-07-16 |
| 1407839368 | Sailaja Musunuri | Psychiatry & Neurology | 8th Avenue & Hay Rd, Kidspeace National Centers Berks Campus, Temple, PA 19560 | 2005-11-23 |
| 1437625530 | Kelsey Sara Reich | Specialist/Technologist | 400 Sharp Ave, Laureldale, PA 19560 | 2018-10-17 |
| 1467597161 | Kidspeace National Centers, Inc. | Nursing Care | 704 Hay Rd, Temple, PA 19560 | 2007-02-20 |
| 1386710432 | Brian S Klee Dpm | Podiatrist | 4148 Kutztown Rd, Temple, PA 19560 | 2006-11-28 |
| 1932207875 | Lawrence Capozello | Podiatrist | 4148 Kutztown Rd, Temple, PA 19560 | 2006-09-21 |
| 1528021284 | Richard P Christoph | Optometrist | 5370 Allentown Pike, Inside Wal-mart Vision Ctr., Temple, PA 19560-1200 | 2006-04-11 |
| Find all providers in zip 19560 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912433913 | Jonathan Lomboy | Dentist | 7410 W Adams Ave Ste 140, Temple, TX 76502-5892 | 2017-05-11 |
| 1811367147 | Joshua M Knowles | Dentist | 2027 S 61st St Ste 111, Temple, TX 76504-6856 | 2015-09-29 |
| 1285957688 | Larrissa Kourtney Cali | Dentist | 207 Westfield Blvd., Temple, TX 76502-5423 | 2010-03-12 |
| 1285745844 | Gerald Wayne Mcconnell | Dentist | 3028 S 31st St, Temple, TX 76502-1802 | 2006-08-31 |
| 1265828941 | Centex Smile Doc PC | Dentist | 2113 Sw H K Dodgen Loop, Temple, TX 76502-1849 | 2015-04-09 |
| 1396140745 | West Temple Orthodontics | Dentist | 207 Westfield Blvd, Temple, TX 76502-5423 | 2014-10-28 |
| 1528280054 | Smile At The World Orthodontics,l.p. | Dentist | 2027 S 61st St, Suite 111, Temple, TX 76504-6867 | 2007-05-03 |
| 1548482706 | Michael J Solomon | Dentist | 2027 S 61st St, Suite 111, Temple, TX 76504-6867 | 2007-05-03 |
| 1780804468 | Gerald W. Mcconnell Dds Ms | Dentist | 3028 S 31st St, Temple, TX 76502-1802 | 2007-04-26 |
| 1578788618 | James A. Barron | Dentist | 2027 S 61st St, Suite 111, Temple, TX 76504-6867 | 2007-04-16 |
| Find all providers in TEMPLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.