NPIMap

Organization Active NPI

Dr. Fred Pockrass, DDS a Professional Corporation

  • Dentist
  • Berkeley, CA
National Provider Identifier
1174741193
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49191 Issued in CA
Legal business name
DR. FRED POCKRASS, DDS A PROFESSIONAL CORPORATION
Practice address
3030 Ashby Ave Ste 101
Berkeley, CA 94705-2439
Phone
(510) 841-3040
Fax
(510) 841-3044
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Authorized official

Name
Mr. Fred Pockrass, D.D.S.
Title
Dentist
Phone
(510) 841-3040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 49191 CA Primary

Addresses

Primary practice location

3030 Ashby Ave Ste 101
Berkeley, CA 94705-2439

Mailing address

3030 Ashby Ave Ste 101
Berkeley, CA 94705-2439
Phone (510) 841-3040

National Provider Directory

National Provider Directory

Locations

3030 Ashby Ave
Ste 101
Berkeley, CA 94705
Phone (510) 841-3040

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1174741193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 ASHBY AVE STE 101",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052439",
            "telephone_number": "510-841-3040",
            "fax_number": "510-841-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 ASHBY AVE STE 101",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052439",
            "telephone_number": "510-841-3040",
            "fax_number": "510-841-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. FRED POCKRASS, DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "POCKRASS",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "510-841-3040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.