Harry Robert Van Den Berg, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

45210 Issued in CA

Practice address

1501 Bollinger Canyon Rd Ste a
San Ramon, CA 94583-1758

Phone

(925) 838-0665

Fax

(925) 523-6580

NPI assigned

Jun 11, 2007

Last updated

May 23, 2023By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• H Robert Van Den Berg DDS Inc

  dba Splash Dental

  • General Practice Dentistry
  • Mountain House, CA
  • NPI 1669937066

  Orthodontics and Dentofacial Orthopedics

  NPD Authorized official

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1174727648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BOLLINGER CANYON RD",
            "address_2": "SUITE A",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831758",
            "telephone_number": "925-838-0665",
            "fax_number": "925-838-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BOLLINGER CANYON RD STE A",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831758",
            "telephone_number": "925-838-0665",
            "fax_number": "925-523-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DEN BERG",
        "first_name": "HARRY",
        "middle_name": "ROBERT",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "45210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel M Valino, DDS
• Karina Valle
• Valley Digestive Care
• Kyle Bruce Van Brocklin, D.M.D., M.S.
• Kristin Jane Van de Carr
• Alison Van Hoff, 1-15-18398
• Sabrina Van Zuiden
• Samuel H Vance
• Anitha Vancha
• Deborah A. Vanderbilt-Anderson, OT

• Orthodontics and Dentofacial Orthopedics Dentistry in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.