Active NPI
Eun Jung NMN Berry, RDH
- Dental Hygienist
- Jbsa Randolph, TX
National Provider Identifier
1407950587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH009017
- Practice address
- 221 3Rd St W BLDG 1040
Jbsa Randolph, TX 78150-4800 - Phone
- (210) 652-1846
- NPI assigned
- Sep 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH009017 | GA | Primary |
Addresses
Primary practice location
221 3Rd St W BLDG 1040
Jbsa Randolph, TX 78150-4800
Mailing address
221 3Rd St W BLDG 1040
Jbsa Randolph, TX 78150-4800
Phone (106) 521-8462
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 |
|---|---|---|---|
| DH009017 | GA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1407950587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 3RD ST W BLDG 1040",
"city": "JBSA RANDOLPH",
"state": "TX",
"postal_code": "781504800",
"telephone_number": "106-521-8462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 3RD ST W BLDG 1040",
"city": "JBSA RANDOLPH",
"state": "TX",
"postal_code": "781504800",
"telephone_number": "210-652-1846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "EUN JUNG",
"middle_name": "NMN",
"name_prefix": "Ms.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-11",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "GA",
"license": "DH009017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jbsa Randolph, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.