John Barton Berg Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS0000004054 Issued in TN

Practice address

415 S Germantown Rd
Chattanooga, TN 37411-5026

Phone

(423) 624-6241

Fax

(423) 624-0783

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• John B Berg Jr DDS PLLC

  • General Practice Dentistry
  • Chattanooga, TN
  • NPI 1699320796
  NPD (past)
• Michael Duvall DDS PLLC

  • General Practice Dentistry
  • Chattanooga, TN
  • NPI 1851997233
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497761423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S GERMANTOWN RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115026",
            "telephone_number": "423-624-6241",
            "fax_number": "423-624-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S GERMANTOWN RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115026",
            "telephone_number": "423-624-6241",
            "fax_number": "423-624-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "JOHN",
        "middle_name": "BARTON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000004054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheri Proctor Benton, CRNA
• Kirah Benton
• Madison McLayne Nolen Benton, MD
• Oliver Benton III, M.D.
• George Henry Bercaw, M.A.
• Nicole R Berger, MSPT
• Cameron Jackson Bergeron, MD
• Kaitlyn Patricia Bergeron
• Kelly L Bergmann, RBT
• Monica Beri, M.D.

• General Practice Dentistry in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.