Robert Berkenmeier, D.D.S.

Individual provider Active NPI General Practice Dentistry · Carpinteria, CA

NPI 1508924952 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1508924952
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
32271 (CA)
Practice address
1066 Eugenia PL
Carpinteria, CA 93013-2050
Phone
(805) 684-2171
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150714000625 CA Order and Referring Only - Dentist
Practitioner - Dentist
2163735630

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
32271CAMDOrthopedic Physical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 32271 CA Yes

Addresses

Primary practice location

1066 Eugenia PL
Carpinteria, CA 93013-2050

Mailing address

1066 Eugenia PL
Carpinteria, CA 93013-2050
Phone (805) 684-2171

Other providers in Carpinteria, CA

All providers in Carpinteria, CA · General Practice Dentistry in California

Sources for this page

Verify at the official NPI Registry.