NPIMap

Organization Active NPI

Ryan Lawrence Horn, D.D.S.

Doing business as Berkeley Periodontics and Dental Implants

  • Periodontics
  • Berkeley, CA
National Provider Identifier
1407150139
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
56850 Issued in CA
Legal business name
RYAN LAWRENCE HORN, D.D.S.
Doing business as
Berkeley Periodontics and Dental Implants
Practice address
2999 Regent St
Suite #403
Berkeley, CA 94705-2190
Phone
(510) 843-6341
Fax
(510) 845-5128
NPI assigned
Jan 10, 2011
Last updated
Jan 10, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
RYAN HORN, D.D.S.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Authorized official

Name
Dr. Ryan Lawrence Horn, D.D.S.
Title
Dentist
Phone
(510) 843-6341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 56850 CA Primary

Addresses

Primary practice location

2999 Regent St
Suite #403
Berkeley, CA 94705-2190

Mailing address

2999 Regent St
Suite #403
Berkeley, CA 94705-2190
Phone (510) 843-6341

Other names 1

  • Berkeley Periodontics and Dental Implants Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1407150139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST",
            "address_2": "SUITE #403",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052190",
            "telephone_number": "510-843-6341",
            "fax_number": "510-845-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST",
            "address_2": "SUITE #403",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052190",
            "telephone_number": "510-843-6341",
            "fax_number": "510-845-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN LAWRENCE HORN, D.D.S.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RYAN HORN, D.D.S.",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "510-843-6341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "56850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berkeley Periodontics and Dental Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.