Steven B Berlin, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11888 Issued in MI

Practice address

12019 Glacier Bay Drive
Boynton Beach, FL 33473

Phone

(248) 821-0953

NPI assigned

Dec 18, 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 MI

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

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1518020106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12019 GLACIER BAY DRIVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33473",
            "telephone_number": "248-821-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12019 GLACIER BAY DRIVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33473",
            "telephone_number": "248-821-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLIN",
        "first_name": "STEVEN",
        "middle_name": "B",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "11888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Danielle Bergin, ARNP
• Michael Ellis Berglass, DDS
• Julie Berk, P.T.
• Jacqueline Berkovsky, PA
• Joshua Matthew Berlin, MD
• Deborah Karen Berman, LCSW
• Erick Randy Berman
• Ruth S Berman, D.C.
• William S Berman, MD
• Guerlancia Bernard, RBT

• General Practice Dentistry in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.