Individual provider Active NPI

Roy Sheldon Berkon, ROY BERKON D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Nashville, TN
National Provider Identifier
1477798205
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS2385 Issued in TN
Practice address
710 Summerly Dr
Nashville, TN 37209-4219
Phone
(615) 356-3799
Fax
(615) 356-3799
NPI assigned
Dec 8, 2008
Last updated
Dec 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DS2385 TN Primary

Addresses

Primary practice location

710 Summerly Dr
Nashville, TN 37209-4219

Mailing address

710 Summerly Dr
Nashville, TN 37209-4219
Phone (615) 356-3799

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

LicenseStateTypeSpecialty
DS2385TNMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1477798205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 SUMMERLY DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372094219",
            "telephone_number": "615-356-3799",
            "fax_number": "615-356-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SUMMERLY DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372094219",
            "telephone_number": "615-356-3799",
            "fax_number": "615-356-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKON",
        "first_name": "ROY",
        "middle_name": "SHELDON",
        "name_prefix": "Dr.",
        "credential": "ROY  BERKON D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "DS2385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.