Richard M. Berg, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS025436L Issued in PA

Practice address

54 Copperfield Cir
Lititz, PA 17543-9483

Phone

(717) 627-3113

Fax

(717) 627-0723

NPI assigned

Oct 17, 2006

Sex

Male

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 Jul 7, 2015 through Jul 7, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Richard M. Berg DDS, PC

  • General Practice Dentistry
  • Lititz, PA
  • NPI 1568786671
  NPD (past) Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1154401511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 COPPERFIELD CIR",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439483",
            "telephone_number": "717-627-3113",
            "fax_number": "717-627-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 COPPERFIELD CIR",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439483",
            "telephone_number": "717-627-3113",
            "fax_number": "717-627-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "RICHARD",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS025436L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Beers, LPC
• Behavioral Healthcare Consultants
• Christine Mary Hanna Beiler, MD
• Lori Marie Belsky, OTR/L
• Skyler Mae Bemesderfer
• Casey Lynn Seitz Berrettini, PA-C
• Jessica L Bertolino, MA, MT-BC, LPC
• Courtney Betsock, DPT
• Karen Jean Bewley, PHYSICAL THERAPIST
• Sandra Sue Beyer, M.A.,CCC/SLP

• General Practice Dentistry in Lititz, PA
• Providers in Lititz, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.