Nicholas Scott Berlin, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

122677 Issued in GA

Practice address

11790 Northfall LN Ste 401
Alpharetta, GA 30009-7965

Phone

(770) 777-0511

NPI assigned

Jun 14, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Alpharetta Dental Associates II PC

  • Dental Clinic/Center
  • Alpharetta, GA
  • NPI 1588236731
  NPD
• Georgia Dental Professionals, PC

  • General Practice Dentistry
  • Covington, GA
  • NPI 1295449213
  NPD (past)

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1356071245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3172 ROSWELL RD NW APT 1404",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052336",
            "telephone_number": "404-403-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11790 NORTHFALL LN STE 401",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097965",
            "telephone_number": "770-777-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLIN",
        "first_name": "NICHOLAS",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "122677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Bergin, BCBA
• David Moshe Bergman, M.D.
• Paige Berkey
• Jeffrey Berklich, DC MPH
• Murray R Berkowitz, D.O., M.P.H.
• Alicia Bernstein
• Christopher Eric Berry, RBT
• Ryan Simmons Berry, RBT
• Meredith 3108045586 Berryman
• Oliveea Taylah Bertin, B.S.

• General Practice Dentistry in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.