NPIMap

Organization Active NPI

Kenneth W. Berger, D.D.S., L.L.C.

Doing business as Kenneth W. Berger, DDS

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1427102318
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11388 Issued in GA
Legal business name
KENNETH W. BERGER, D.D.S., L.L.C.
Doing business as
Kenneth W. Berger, DDS
Practice address
3330 Cumberland Blvd
Suite T-50
Atlanta, GA 30339-5995
Phone
(404) 351-5585
Fax
(678) 241-5585
NPI assigned
Jan 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth Wayne Berger, DDSNPI 1629122593
Title
Managing Member
Phone
(404) 351-5585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11388 GA Primary

Addresses

Primary practice location

3330 Cumberland Blvd
Suite T-50
Atlanta, GA 30339-5995

Mailing address

3330 Cumberland Blvd
Suite T-50
Atlanta, GA 30339-5995
Phone (404) 351-5585

Other names 1

  • Kenneth W. Berger, DDS Doing business as

National Provider Directory

National Provider Directory

Locations

3330 Cumberland Blvd SE
Ste T50
Atlanta, GA 30339
Phone (404) 351-5585

Practitioners & affiliated clinicians

Practitioners 1

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": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427102318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 CUMBERLAND BLVD",
            "address_2": "SUITE T-50",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395995",
            "telephone_number": "404-351-5585",
            "fax_number": "678-241-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 CUMBERLAND BLVD",
            "address_2": "SUITE T-50",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395995",
            "telephone_number": "404-351-5585",
            "fax_number": "678-241-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH W. BERGER, D.D.S., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "404-351-5585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth W. Berger, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.