Active NPI
Gerald Barry Berenson, DDS
- Dentist
- Shrewsbury, MA
National Provider Identifier
1285832188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11899
- Practice address
- 20 Julio Dr
Shrewsbury, MA 01545-3056 - Phone
- (508) 842-6881
- NPI assigned
- Jul 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11899 | MA | Primary |
Addresses
Primary practice location
20 Julio Dr
Shrewsbury, MA 01545-3056
Mailing address
12 Austin Dr
Sudbury, MA 01776-1739
Phone (978) 443-5247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11899 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285832188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 AUSTIN DR",
"city": "SUDBURY",
"state": "MA",
"postal_code": "017761739",
"telephone_number": "978-443-5247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 JULIO DR",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015453056",
"telephone_number": "508-842-6881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERENSON",
"first_name": "GERALD",
"middle_name": "BARRY",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "11899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shrewsbury, MA
- Georges Beckford, PMHNP
- Stasia Behmer, M.A., CCC-SLP, BCBA
- Patricia Celina Belliveau, MA-CCC-SLP
- Michael Beluch
- Trevor Keith Berens, M.A.
- Berry Chiropractic, P.C.
- Edwin D Berry II, D.C.
- Carmelle S Besong, NP
- Hetal Bhimjiani, DPT
- Bio-Medical Applications of Massachusetts, Inc. (University Dialysis Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.