JUSTIN LEROY BERMUDEZ
NPI 1740978246
Dentist - General Practice in Sacramento, CA

Q: What is Justin Bermudez's NPI number?

The NPI number for Justin Bermudez is 1740978246. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Q: What is Justin Bermudez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Justin Bermudez was last updated on April 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 24, 2023PECOS Enrolled

630 ALHAMBRA BLVD, SACRAMENTO, CA 95816(916) 201-0074 Get Directions Write a Review

NPPES record last updated: April 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Justin Leroy Bermudez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN LEROY BERMUDEZ (NPI 1740978246) is an individual general practice provider in Sacramento, California, licensed in California (DDS109747) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740978246

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJUSTIN LEROY BERMUDEZ

Location Address630 ALHAMBRA BLVDSacramento, CA 95816-3806

Mailing Address630 Alhambra BlvdSacramento, CA 95816-3806 · (916) 201-0074

Phone(916) 201-0074

Sole ProprietorYes

Enumeration DateApril 24, 2023

Last NPPES UpdateApril 21, 2024

NPPES CertifiedApril 5, 2024

✔ NPI 1740978246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · DDS109747

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

630 ALHAMBRA BLVD, Sacramento, CA 95816

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Leroy Bermudez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95816 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RITA BROWN BERMUDEZ MD

Physical Medicine & Rehabilitation

630 ALHAMBRA BLVD
SACRAMENTO, CA 95816

Sacramento County (916) 444-7137

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Bermudez's NPI number?

The NPI number for Justin Bermudez is 1740978246. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Justin Bermudez located?

Justin Bermudez practices at 630 Alhambra Blvd, Sacramento, CA 95816. The listed phone number is (916) 201-0074.

What is Justin Bermudez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Justin Bermudez enrolled in Medicare?

Yes. Justin Bermudez is registered in the Medicare PECOS enrollment system.

What insurance does Justin Bermudez accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Justin Bermudez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Justin Bermudez was last updated on April 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.