Organization Active NPI

Eliza Berris DDS II Inc.

Doing business as Grace Dentistry

  • Dentist
  • La Habra, CA
National Provider Identifier
1063177996
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ELIZA BERRIS DDS II INC.
Doing business as
Grace Dentistry
Practice address
1210 S Euclid St
La Habra, CA 90631-7306
Phone
(714) 871-4962
NPI assigned
Nov 4, 2021
Last updated
Nov 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Authorized official

Name
Dr. Eliza Berris, DDSNPI 1639601578
Title
President
Phone
(949) 975-9230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

1210 S Euclid St
La Habra, CA 90631-7306

Mailing address

19851 Yorba Linda Blvd Ste 201
Yorba Linda, CA 92886-2864
Phone (714) 777-9403

Other names 1

  • Grace Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

19851 Yorba Linda Blvd
Ste 201
Yorba Linda, CA 92886
Phone (714) 777-9403

Practitioners & affiliated clinicians

Practitioners 3

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": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1063177996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19851 YORBA LINDA BLVD STE 201",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928862864",
            "telephone_number": "714-777-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 S EUCLID ST",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906317306",
            "telephone_number": "714-871-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZA BERRIS DDS II INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "BERRIS",
        "authorized_official_first_name": "ELIZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-975-9230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.