Individual provider Active NPI

Karen Lea Berrigan, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Glendale, AZ
National Provider Identifier
1285799809
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3549 Issued in AZ
Practice address
20100 North 51St Ave #B-230
Glendale, AZ 85308-5097
Phone
(623) 931-4386
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 3549 AZ Primary

Addresses

Primary practice location

20100 North 51St Ave #B-230
Glendale, AZ 85308-5097

Mailing address

20100 North 51St Ave #B-230
Glendale, AZ 85308-5097
Phone (623) 931-4386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Feb 18, 2016 through Feb 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3549AZMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwestern University PastSince Sep 29, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kberrigan18672@direct.midwestern.edu

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1285799809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20100 NORTH 51ST AVE #B-230",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085097",
            "telephone_number": "623-931-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20100 NORTH 51ST AVE #B-230",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085097",
            "telephone_number": "623-931-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRIGAN",
        "first_name": "KAREN",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "3549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.