Richard Andy Berry, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

12877 Issued in MA

Practice address

131 Main St
Medway, MA 02053-1576

Phone

(508) 533-7461

Fax

(508) 533-7455

NPI assigned

Jan 15, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medway Family Dental PLLC

  dba Medway Family Dental

  • General Practice Dentistry
  • Medway, MA
  • NPI 1750872636
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033260237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MAIN ST",
            "address_2": "PO BOX 149",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531576",
            "telephone_number": "508-533-7461",
            "fax_number": "508-533-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MAIN ST",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531576",
            "telephone_number": "508-533-7461",
            "fax_number": "508-533-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "RICHARD",
        "middle_name": "ANDY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "12877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Barakian, PHARMD
• Donna L. Barry Moilanen, PH.D.
• Susannah Hollis Barry, LICSW
• Shannon Beck
• Chelsea Bengyak, MA, LMFT, CATC-IV
• Gail Bittig, OTR L
• Blue Heron Therapy, LLC
• Meghan Kathleen Bonanno, FNP
• Injy Botros
• Kathryn Branca, LADC I

• Dentist in Medway, MA
• Providers in Medway, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.