Organization Active NPI

Richard G Berube and Stephen G Berube DMD PLLC

Doing business as Gerber Dental Group - Portsmouth

  • General Practice Dentistry
  • Portsmouth, NH
National Provider Identifier
1508879180
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2583 Issued in NH
Legal business name
RICHARD G BERUBE AND STEPHEN G BERUBE DMD PLLC
Doing business as
Gerber Dental Group - Portsmouth
Practice address
1800 Woodbury Ave
Portsmouth, NH 03801
Phone
(603) 436-8822
Fax
(603) 431-3948
NPI assigned
Aug 14, 2006
Last updated
Aug 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Dr. Richard G Berube, DMD
Title
Owner
Phone
(603) 436-8822

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2590 NH
General Practice Dentistry 1223G0001X 2583 NH Primary

Addresses

Primary practice location

1800 Woodbury Ave
Portsmouth, NH 03801

Mailing address

1800 Woodbury Ave
Portsmouth, NH 03801
Phone (603) 436-8822

Other names 1

  • Gerber Dental Group - Portsmouth Doing business as

National Provider Directory

National Provider Directory

Locations

1800 Woodbury Ave
Portsmouth, NH 03801
Phone (603) 436-8822

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1508879180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 WOODBURY AVE",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "03801",
            "telephone_number": "603-436-8822",
            "fax_number": "603-431-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WOODBURY AVE",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "03801",
            "telephone_number": "603-436-8822",
            "fax_number": "603-431-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD G BERUBE AND STEPHEN G BERUBE DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "BERUBE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-436-8822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "2590",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "2583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gerber Dental Group - Portsmouth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.