Individual provider Active NPI

Shira Tzipora Berger, DMD

  • Pediatric Dentistry
  • Skokie, IL
National Provider Identifier
1144962150
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
019.035359 Issued in IL
Practice address
4905 Old Orchard Ctr Ste 320
Skokie, IL 60077-4740
Phone
(847) 676-3386
NPI assigned
Apr 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 019.035359 IL Primary

Addresses

Primary practice location

4905 Old Orchard Ctr Ste 320
Skokie, IL 60077-4740

Mailing address

4905 Old Orchard Ctr Ste 320
Skokie, IL 60077-4740
Phone (847) 676-3386

Other practice location 1

2601 Compass Rd Ste 105
Glenview, IL 60026-8077
Phone (847) 724-5455

Other practice location 2

1460 N Halsted St Ste 403
Chicago, IL 60642-2607
Phone (773) 880-5455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1144962150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 OLD ORCHARD CTR STE 320",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600774740",
            "telephone_number": "847-676-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 OLD ORCHARD CTR STE 320",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600774740",
            "telephone_number": "847-676-3386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Compass Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600268077",
            "country_code": "US",
            "telephone_number": "847-724-5455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1460 N Halsted St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606422607",
            "country_code": "US",
            "telephone_number": "773-880-5455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGER",
        "first_name": "SHIRA",
        "middle_name": "TZIPORA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019.035359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.