Anna Berik
Individual provider Active NPI General Practice Dentistry · Newton Centre, MA
NPI 1497950356 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497950356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 18498 (MA)
- Practice address
- 93 Union St
402
Newton Centre, MA 02459-2244 - Phone
- (617) 965-0060
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170104001316 | MA | Order and Referring Only - Dentist |
8426339532 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18498 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bubble Children'S Dentistry and Orthodontics | Current | Accepting new patients | |
| Newton Dental Associates | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 18498 | MA | Yes |
Addresses
Primary practice location
93 Union St
402
Newton Centre, MA 02459-2244
Mailing address
93 Union St
402
Newton Centre, MA 02459-2244
NPI Registry JSON
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497950356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 UNION ST",
"address_2": "402",
"city": "NEWTON CENTRE",
"state": "MA",
"postal_code": "024592244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 UNION ST",
"address_2": "402",
"city": "NEWTON CENTRE",
"state": "MA",
"postal_code": "024592244",
"telephone_number": "617-965-0060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERIK",
"first_name": "ANNA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "18498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton Centre, MA
- Paul Woojong Baek
- Kathleen E. Barrett
- Barry J Goldberg DMD PC
- Barry J Goldberg DMD PC
- Jonathan A Benjamin
- Gregory Keith Binus
- Herbert S Birnbaum
- Sibylle Bosslet
- Kimberly D Boyd
- Brian H. Miller
All providers in Newton Centre, MA · General Practice Dentistry in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.