Individual provider Active NPI

Josh Berd, D.D.S.

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1477866218
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
59483 Issued in CA
Practice address
4444 Geary Blvd
Suite 303a
San Francisco, CA 94118-3048
Phone
(415) 706-7687
Fax
(415) 386-5592
NPI assigned
Jul 22, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 59483 CA Primary

Addresses

Primary practice location

4444 Geary Blvd
Suite 303a
San Francisco, CA 94118-3048

Mailing address

4444 Geary Blvd
Suite 303a
San Francisco, CA 94118-3048
Phone (415) 706-7687

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

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1477866218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 GEARY BLVD",
            "address_2": "SUITE 303A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183048",
            "telephone_number": "415-706-7687",
            "fax_number": "415-386-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 GEARY BLVD",
            "address_2": "SUITE 303A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183048",
            "telephone_number": "415-706-7687",
            "fax_number": "415-386-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERD",
        "first_name": "JOSH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-22",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.