Individual provider Active NPI

Louis Christopher Berger, D.M.D.

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1306074976
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401412534 Issued in VA
Practice address
2404 Virginia Beach Blvd Ste 106
#106
Virginia Beach, VA 23454-4059
Phone
(757) 498-7878
Fax
(757) 498-3427
NPI assigned
Jun 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401412534 VA Primary

Addresses

Primary practice location

2404 Virginia Beach Blvd Ste 106
#106
Virginia Beach, VA 23454-4059

Mailing address

2404 Virginia Beach Blvd Ste 106
#106
Virginia Beach, VA 23454-4059
Phone (757) 498-7878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150211000982 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0547585770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Doctors Berger Family Dentistry Past Accepting new patients

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": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1306074976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 VIRGINIA BEACH BLVD STE 106",
            "address_2": "#106",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544059",
            "telephone_number": "757-498-7878",
            "fax_number": "757-498-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 VIRGINIA BEACH BLVD STE 106",
            "address_2": "#106",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544059",
            "telephone_number": "757-498-7878",
            "fax_number": "757-498-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "LOUIS",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.