Organization Active NPI

Jeff Berlin DDS Ms PC

  • Endodontics
  • Beverly Hills, CA
National Provider Identifier
1144989203
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
JEFF BERLIN DDS MS PC
Practice address
8920 Wilshire Blvd Ste 403
Beverly Hills, CA 90211-2004
Phone
(310) 720-8250
NPI assigned
Dec 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Authorized official

Name
Faith Gaskins
Title
Director of Credentialing
Phone
(972) 869-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

8920 Wilshire Blvd Ste 403
Beverly Hills, CA 90211-2004

Mailing address

8920 Wilshire Blvd Ste 403
Beverly Hills, CA 90211-2004
Phone (310) 720-8250

Other names 1

  • Advanced Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

8920 Wilshire Blvd
Ste 403
Beverly Hills, CA 90211
Phone (310) 720-8250

NPI Registry JSON

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1144989203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD STE 403",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112004",
            "telephone_number": "310-720-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD STE 403",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112004",
            "telephone_number": "310-720-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF BERLIN DDS MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.