NPIMap

Organization Active NPI

Troy Family Dental Allen Berk D.D.S. Inc.

  • Dentist
  • Troy, OH
National Provider Identifier
1194970905
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21174 Issued in OH
Legal business name
TROY FAMILY DENTAL ALLEN BERK D.D.S. INC.
Practice address
1820 W Main St
Troy, OH 45373-2304
Phone
(937) 332-8644
NPI assigned
Nov 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Dr. Allen Berk, D.D.S.NPI 1902908098
Title
President
Phone
(937) 332-8644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 21174 OH Primary

Addresses

Primary practice location

1820 W Main St
Troy, OH 45373-2304

Mailing address

1820 W Main St
Troy, OH 45373-2304
Phone (937) 332-8644

National Provider Directory

National Provider Directory

Locations

1820 W Main St
Troy, OH 45373
Phone (937) 332-8644

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": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1194970905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 W MAIN ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732304",
            "telephone_number": "937-332-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W MAIN ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732304",
            "telephone_number": "937-332-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY FAMILY DENTAL ALLEN BERK D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "BERK",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-332-8644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "21174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.