NPIMap

Organization Active NPI

G.L.Berry,DDS a Dental Corporation

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1174709067
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39969 Issued in CA
Legal business name
G.L.BERRY,DDS A DENTAL CORPORATION
Doing business as
Neighborhood Family Dental Practice
Practice address
5527 Clairemont Mesa Blvd
San Diego, CA 92117-2342
Phone
(858) 467-0503
Fax
(858) 467-9103
NPI assigned
Jan 10, 2008
Organization subpart
Yes
Parent organization
G.L.BERRY,DDS A DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Dr. Gladys Luisa Berry, DDS
Title
President
Phone
(858) 467-0503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 39969 CA Primary

Addresses

Primary practice location

5527 Clairemont Mesa Blvd
San Diego, CA 92117-2342

Mailing address

5527 Clairemont Mesa Blvd
San Diego, CA 92117-2342
Phone (858) 467-0503

Other names 1

  • Neighborhood Family Dental Practice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Glberrydds a Dental Corporation2 organizations share this tax ID, including this one
Part of
Glberrydds a Dental Corporation

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1174709067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5527 CLAIREMONT MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921172342",
            "telephone_number": "858-467-0503",
            "fax_number": "858-467-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5527 CLAIREMONT MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921172342",
            "telephone_number": "858-467-0503",
            "fax_number": "858-467-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.L.BERRY,DDS A DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "G.L.BERRY,DDS A DENTAL CORPORATION",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "LUISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-467-0503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborhood Family Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.