Vernon E. O'Berry, Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401006196 Issued in VA

Practice address

708 Medical Tower
Norfolk, VA 23507

Phone

(757) 627-1882

Fax

(757) 627-7807

NPI assigned

Oct 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in VA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vernon E. O'Berry, Jr. DDS

  • General Practice Dentistry
  • Norfolk, VA
  • NPI 1083126320
  Authorized official Same address or phone

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134200231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 BISHOPSGATE LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234526182",
            "telephone_number": "757-627-1882",
            "fax_number": "757-627-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 MEDICAL TOWER",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23507",
            "telephone_number": "757-627-1882",
            "fax_number": "757-627-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BERRY, JR.",
        "first_name": "VERNON",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wisdom Nzidee
• Edward Sills O Keefe, DDS
• O Love Home Health Care LLC
• Melanie Kaye O'Banion, PHARM D.
• Christina O'Berry
• John T. O'Brian, MD
• Brandon Jay O'Brien, DO
• Mary O'Connor, APRN/FNP-C
• Jackson O'Donnell, DO
• Kathryn Ann O'Grady Tabor, APRN

• General Practice Dentistry in Norfolk, VA
• Providers in Norfolk, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.