Organization Active NPI

Michael P. Berry, D.D.S., P.C.

  • Pediatric Dentistry
  • Parkville, MO
National Provider Identifier
1245450535
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DE015875 Issued in MO
Legal business name
MICHAEL P. BERRY, D.D.S., P.C.
Practice address
6004 N.W. 9 Hwy.
Parkville, MO 64152-3549
Phone
(816) 746-5437
Fax
(816) 746-8047
NPI assigned
Apr 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael P. Berry, D.D.S.NPI 1164412128
Title
President of Corporation
Phone
(816) 746-5437

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
Pediatric Dentistry 1223P0221X DE015875 MO Primary

Addresses

Primary practice location

6004 N.W. 9 Hwy.
Parkville, MO 64152-3549

Mailing address

6004 N.W. 9 Hwy.
Parkville, MO 64152-3549

National Provider Directory

National Provider Directory

Locations

6004 N 9 Hwy
Parkville, MO 64152
Phone (816) 746-5437

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245450535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6004 N.W. 9 HWY.",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641523549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6004 N.W. 9 HWY.",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641523549",
            "telephone_number": "816-746-5437",
            "fax_number": "816-746-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P. BERRY, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "816-746-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "DE015875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MO

Sources for this page

  • 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.