Berke Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

015925 Issued in OH

Legal business name

BERKE DENTAL CENTER

Practice address

2460 Fairmount Blvd
Suite 218
Cleveland Heights, OH 44106-3171

Phone

(216) 791-5191

Fax

(216) 231-4933

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Alan Shapiro, D.D.S.

Title

President

Phone

(216) 791-5191

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184708026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 FAIRMOUNT BLVD",
            "address_2": "SUITE 218",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441063171",
            "telephone_number": "216-791-5191",
            "fax_number": "216-231-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 FAIRMOUNT BLVD",
            "address_2": "SUITE 218",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441063171",
            "telephone_number": "216-791-5191",
            "fax_number": "216-231-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-791-5191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "015925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0246531",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Cleveland Heights, OH
• Providers in Cleveland Heights, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.