Abbas Hussein Berro, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901019129 Issued in MI

Practice address

1193 Southfield Rd
Lincoln Park, MI 48146-2450

Phone

(313) 388-1800

Fax

(313) 388-5527

NPI assigned

May 31, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Berro Dental Group

  • Dental Clinic/Center
  • Lincoln Park, MI
  • NPI 1285884734
  NPD (past) Authorized official
• Kennedy Dental Center of Michigan, P.C.

  • General Practice Dentistry
  • Lincoln Park, MI
  • NPI 1619026085
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1366489452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1193 SOUTHFIELD RD",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462450",
            "telephone_number": "313-388-1800",
            "fax_number": "313-388-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1193 SOUTHFIELD RD",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462450",
            "telephone_number": "313-388-1800",
            "fax_number": "313-388-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRO",
        "first_name": "ABBAS",
        "middle_name": "HUSSEIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4979625",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Carlita Bell
• Marcel Beltre Medina
• Brooke Bendix, L.C.S.W.
• Timothy Aslan Bennett, LMSW
• Berro Dental Group
• Maryellen Berthiaume, REGISTERED NURSE
• Caryn Lynne Bilinski
• Cheryl Bing, MSN
• Bioscript Pharmacy Mi LLC
• Katlyn Bixler, RPH

• General Practice Dentistry in Lincoln Park, MI
• Providers in Lincoln Park, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.