Organization Active NPI

Berks Prosthodontics, LTD.

  • Prosthodontics
  • West Reading, PA
National Provider Identifier
1134589450
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DS037153 Issued in PA
Legal business name
BERKS PROSTHODONTICS, LTD.
Practice address
616 Reading Ave
West Reading, PA 19611-1010
Phone
(484) 577-3530
Fax
(610) 376-7825
NPI assigned
Feb 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Dr. Andrea Smith, DDS
Title
Owner
Phone
(484) 577-3530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X DS037153 PA Primary

Addresses

Primary practice location

616 Reading Ave
West Reading, PA 19611-1010

Mailing address

1155 Old Mill Rd
Wyomissing, PA 19610-2525
Phone (484) 577-3530

National Provider Directory

National Provider Directory

Locations

616 Reading Ave
West Reading, PA 19611
Phone (484) 577-3530

Practitioners & affiliated clinicians

Practitioners 1

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": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1134589450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 OLD MILL RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102525",
            "telephone_number": "484-577-3530",
            "fax_number": "610-376-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 READING AVE",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111010",
            "telephone_number": "484-577-3530",
            "fax_number": "610-376-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKS PROSTHODONTICS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-577-3530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "DS037153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.