Organization Active NPI

Dr George E Berryman DDS

  • Dentist
  • Chesapeake, VA
National Provider Identifier
1528040474
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401005731 Issued in VA
Legal business name
DR GEORGE E BERRYMAN DDS
Practice address
838 Old George Washington Hwy
Suite C
Chesapeake, VA 23323
Phone
(757) 558-9008
Fax
(757) 558-9042
NPI assigned
Nov 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Mrs. Joann P Reynolds
Title
Office Manager
Phone
(757) 558-9008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401005731 VA Primary

Addresses

Primary practice location

838 Old George Washington Hwy
Suite C
Chesapeake, VA 23323

Mailing address

838 Old George Washington Hwy
Suite C
Chesapeake, VA 23323
Phone (757) 558-9008

Other identifiers 1

IdentifierTypeStateIssuer
007804768MedicaidVA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1528040474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 OLD GEORGE WASHINGTON HWY",
            "address_2": "SUITE C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23323",
            "telephone_number": "757-558-9008",
            "fax_number": "757-558-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 OLD GEORGE WASHINGTON HWY",
            "address_2": "SUITE C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23323",
            "telephone_number": "757-558-9008",
            "fax_number": "757-558-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GEORGE E BERRYMAN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "757-558-9008",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401005731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007804768",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.