Organization Active NPI

Berlin Dental Associates

  • Dentist
  • Berlin, NJ
National Provider Identifier
1033526645
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D13308 Issued in NJ
Legal business name
BERLIN DENTAL ASSOCIATES
Practice address
7 Harker Ave
Suite One
Berlin, NJ 08009-2331
Phone
(856) 767-7077
Fax
(856) 767-8070
NPI assigned
Jul 15, 2014
Last updated
Jul 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Authorized official

Name
Mrs. Gail A Siegert
Title
Practice Administrator
Phone
(856) 767-7077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D13308 NJ Primary

Addresses

Primary practice location

7 Harker Ave
Suite One
Berlin, NJ 08009-2331

Mailing address

7 Harker Ave
Suite One
Berlin, NJ 08009-2331
Phone (856) 767-7077

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1033526645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HARKER AVE",
            "address_2": "SUITE ONE",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080092331",
            "telephone_number": "856-767-7077",
            "fax_number": "856-767-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HARKER AVE",
            "address_2": "SUITE ONE",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080092331",
            "telephone_number": "856-767-7077",
            "fax_number": "856-767-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERLIN DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "SIEGERT",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "856-767-7077",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "D13308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.