Nicole Marie Berger, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN16939 Issued in FL

Practice address

572 E McNab Rd
102
Pompano Beach, FL 33060-9355

Phone

(954) 785-1100

Fax

(954) 785-1101

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 3, 2017 through Apr 3, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1104906486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 E MCNAB RD",
            "address_2": "102",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330609355",
            "telephone_number": "954-785-1100",
            "fax_number": "954-785-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 E MCNAB RD",
            "address_2": "102",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330609355",
            "telephone_number": "954-785-1100",
            "fax_number": "954-785-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Benitez, B.S.
• Benjamin Chiropractic Inc.
• Rodrigue Benjamin, DC
• Sarah Ann Bennett
• Marla Benoist
• Dona Jane Bernstein, DC
• Jenna Welsh Bernstein
• Natalie Bernstein, M.A., CCC-SLP
• Sharae Berrian, PHARMD
• Diana Besada, M.S.

• General Practice Dentistry in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.