Organization Active NPI

Berkshire Dentist, PLLC

  • General Practice Dentistry
  • Pittsfield, MA
National Provider Identifier
1093349847
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BERKSHIRE DENTIST, PLLC
Practice address
523 South St
Pittsfield, MA 01201-8209
Phone
(413) 447-7923
NPI assigned
Mar 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Authorized official

Name
Dr. Min Chao, DMDNPI 1427444041
Title
Manager
Phone
(413) 447-7923

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

523 South St
Pittsfield, MA 01201-8209

Mailing address

523 South St
Pittsfield, MA 01201-8209
Phone (413) 447-7923

National Provider Directory

National Provider Directory

Locations

523 South St
Pittsfield, MA 01201
Phone (413) 447-7923

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1093349847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012018209",
            "telephone_number": "413-447-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012018209",
            "telephone_number": "413-447-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE DENTIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-01",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "CHAO",
        "authorized_official_first_name": "MIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "413-447-7923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.