Organization Active NPI

Berger & Jen Kin DDS Inc

Doing business as dental group of simi valley

  • General Practice Dentistry
  • Simi Valley, CA
National Provider Identifier
1083707673
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BERGER & JEN KIN DDS INC
Doing business as
dental group of simi valley
Practice address
1720 E Los Angeles Ave
Suite 202
Simi Valley, CA 93065
Phone
(805) 522-6020
Fax
(805) 522-6432
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Herschel S Berger, DDS
Title
Doctor/ Owner
Phone
(805) 522-6020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X CA Primary

Addresses

Primary practice location

1720 E Los Angeles Ave
Suite 202
Simi Valley, CA 93065

Mailing address

1720 E Los Angeles Ave
Suite 202
Simi Valley, CA 93065
Phone (805) 522-6020

Other names 1

  • dental group of simi valley Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083707673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E LOS ANGELES AVE",
            "address_2": "SUITE 202",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93065",
            "telephone_number": "805-522-6020",
            "fax_number": "805-522-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E LOS ANGELES AVE",
            "address_2": "SUITE 202",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93065",
            "telephone_number": "805-522-6020",
            "fax_number": "805-522-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGER & JEN KIN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "HERSCHEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR/ OWNER",
        "authorized_official_telephone_number": "805-522-6020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dental group of simi valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.