NPIMap

Organization Active NPI

Jason a Berry DDS PA

  • General Practice Dentistry
  • Granbury, TX
National Provider Identifier
1093843179
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19354 Issued in TX
Legal business name
JASON A BERRY DDS PA
Practice address
2600 James Road
Ste #100
Granbury, TX 76049
Phone
(817) 326-4098
Fax
(817) 326-4470
NPI assigned
Mar 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jason Albert Berry, DDSNPI 1568629723
Title
Dentist
Phone
(817) 326-4098

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19777 TX
General Practice Dentistry 1223G0001X 19354 TX Primary

Addresses

Primary practice location

2600 James Road
Ste #100
Granbury, TX 76049

Mailing address

2600 James Road
Ste #100
Granbury, TX 76049
Phone (817) 326-4098

Other names 1

  • Berry & Berry Dental Associates Other name

National Provider Directory

National Provider Directory

Locations

2600 James Rd
Ste 100
Granbury, TX 76049
Phone (817) 326-4098

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": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093843179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 JAMES ROAD",
            "address_2": "STE #100",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "76049",
            "telephone_number": "817-326-4098",
            "fax_number": "817-326-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 JAMES ROAD",
            "address_2": "STE #100",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "76049",
            "telephone_number": "817-326-4098",
            "fax_number": "817-326-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON A BERRY DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "817-326-4098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19777",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berry & Berry Dental Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Granbury, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.