Active NPI
Krista Lynn Berryhill, DDS
- General Practice Dentistry
- Dubuque, IA
National Provider Identifier
1396087284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7796
- Practice address
- 968 W 3Rd St
Dubuque, IA 52001-6606 - Phone
- (563) 556-3468
- NPI assigned
- Mar 19, 2013
- Last updated
- Sep 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7796 | IA | MD | General Practice Dentistry |
| 019031851 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dentist
- Dubuque, IA
- NPI 1538247960
-
- Dentist
- Dubuque, IA
- NPI 1497090914
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.