Individual provider Active NPI

Krista Lynn Berryhill, DDS

  • General Practice Dentistry
  • Dubuque, IA
National Provider Identifier
1396087284
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7796 Issued in IA
Practice address
968 W 3Rd St
Dubuque, IA 52001-6606
Phone
(563) 556-3468
NPI assigned
Mar 19, 2013
Last updated
Sep 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019031851 IL
General Practice Dentistry 1223G0001X 7796 IA Primary

Addresses

Primary practice location

968 W 3Rd St
Dubuque, IA 52001-6606

Mailing address

968 W 3Rd St
Dubuque, IA 52001-6606
Phone (563) 556-3468

Other practice location 1

202 Summit St
Galena, IL 61036-1636
Phone (815) 777-2338

Other practice location 2

1201 42nd St NE Ste 1
Cedar Rapids, IA 52402-5772
Phone (319) 393-6152

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7796IAMDGeneral Practice Dentistry
019031851ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kramer Family Dental Inc Past Accepting new patients
John P Kramer DDS PC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1396087284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 W 3RD ST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016606",
            "telephone_number": "563-556-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 W 3RD ST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016606",
            "telephone_number": "563-556-3468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Summit St",
            "address_purpose": "LOCATION",
            "city": "Galena",
            "state": "IL",
            "postal_code": "610361636",
            "country_code": "US",
            "telephone_number": "815-777-2338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 42nd St NE Ste 1",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524025772",
            "country_code": "US",
            "telephone_number": "319-393-6152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRYHILL",
        "first_name": "KRISTA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019031851",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.