Active NPI
Lior Berger, DMD
- Prosthodontics
- Gilbert, AZ
National Provider Identifier
1407936438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- AZ5756
- Practice address
- 2730 S Val Vista Dr
Building #11, Suite #164
Gilbert, AZ 85295-1675 - Phone
- (480) 633-9977
- NPI assigned
- Oct 16, 2006
- Last updated
- Sep 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | AZ5756 | AZ | Primary |
Addresses
Primary practice location
2730 S Val Vista Dr
Building #11, Suite #164
Gilbert, AZ 85295-1675
Mailing address
413 E Vaughn Ave
Gilbert, AZ 85234-6451
Phone (480) 205-0222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089599 | Other | AZ | AHCCCS |
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 |
|---|---|---|---|
| AZ5756 | AZ | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Specialty Associates | Past | Accepting new patients | |
| Growing Grins PLLC | 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.
-
dba Growing Grins Pediatric Dentistry
- Pediatric Dentistry
- Gilbert, AZ
- NPI 1326128356
-
- Multi-Specialty Clinic/Center
- Gilbert, AZ
- NPI 1114180320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190246400000",
"number": "1407936438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 E VAUGHN AVE",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852346451",
"telephone_number": "480-205-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 S VAL VISTA DR",
"address_2": "BUILDING #11, SUITE #164",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852951675",
"telephone_number": "480-633-9977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "LIOR",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "AZ",
"license": "AZ5756",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "089599",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.