Organization Active NPI

Samuel S Berro DDS, Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chino Hills, CA
National Provider Identifier
1528126802
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
028905 Issued in CA
Legal business name
SAMUEL S BERRO DDS, INC
Practice address
3233 Grand Ave
Suite E
Chino Hills, CA 91709
Phone
(909) 628-7100
Fax
(909) 591-6640
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Authorized official

Name
Dr. Samuel S Berro, DDS
Title
Owner
Phone
(909) 628-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 028905 CA Primary

Addresses

Primary practice location

3233 Grand Ave
Suite E
Chino Hills, CA 91709

Mailing address

3233 Grand Ave
Suite E
Chino Hills, CA 91709
Phone (909) 628-7100

Other names 1

  • Chino Hills Orthodontics Other name

National Provider Directory

National Provider Directory

Locations

3233 Grand Ave
Ste E
Chino Hills, CA 91709
Phone (909) 628-7100

Practitioners & affiliated clinicians

Practitioners 2

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1528126802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 GRAND AVE",
            "address_2": "SUITE E",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "91709",
            "telephone_number": "909-628-7100",
            "fax_number": "909-591-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 GRAND AVE",
            "address_2": "SUITE E",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "91709",
            "telephone_number": "909-628-7100",
            "fax_number": "909-591-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL S BERRO DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "BERRO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-628-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "028905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chino Hills Orthodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.