Active NPI
Marvin H. Berman, D.D.S.
- Pediatric Dentistry
- Chicago, IL
National Provider Identifier
1487708574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Practice address
- 4801 W Peterson Ave
Ste 410
Chicago, IL 60646-5713 - Phone
- (773) 545-0007
- NPI assigned
- Jan 23, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | IL | ||
| Pediatric Dentistry | 1223P0221X | IL | Primary |
Addresses
Primary practice location
4801 W Peterson Ave
Ste 410
Chicago, IL 60646-5713
Mailing address
4801 W Peterson Ave
Ste 410
Chicago, IL 60646-5713
Phone (773) 545-0007
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 |
|---|---|---|---|
| 019.011686 | IL | MD | Dentist |
| 021.000412 | IL | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Kollman & Furusho, Dentistry for Kids, LTD. | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Chicago, IL
- NPI 1497809222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1487708574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 W PETERSON AVE",
"address_2": "STE 410",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606465713",
"telephone_number": "773-545-0007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 W PETERSON AVE",
"address_2": "STE 410",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606465713",
"telephone_number": "773-545-0007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMAN",
"first_name": "MARVIN",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.