Individual provider Active NPI

James Tyler Berger, DDS

  • Dentist
  • Prairie Village, KS
National Provider Identifier
1558057562
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
62466 Issued in KS
Practice address
7501 Mission Rd Ste 102
Prairie Village, KS 66208-4216
Phone
(816) 229-4560
NPI assigned
Apr 12, 2023
Last updated
Sep 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2026000133 MO
Dentist 122300000X 62466 KS Primary
Dentist 122300000X 7768 OK
Dentist 122300000X 41405 TX
Student in an Organized Health Care Education/Training Program 390200000X TX

Addresses

Primary practice location

7501 Mission Rd Ste 102
Prairie Village, KS 66208-4216

Mailing address

7501 Mission Rd Ste 102
Prairie Village, KS 66208-4216
Phone (913) 786-4404

Other practice location 1

655 R D Mize Rd
Grain Valley, MO 64029-8542
Phone (816) 229-4560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
62466KSMDDentist
2026000133MOMDDentist
41405TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
PV Dental, LLC PastSince Aug 1, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1558057562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 MISSION RD STE 102",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662084216",
            "telephone_number": "913-786-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 MISSION RD STE 102",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662084216",
            "telephone_number": "816-229-4560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 R D Mize Rd",
            "address_purpose": "LOCATION",
            "city": "Grain Valley",
            "state": "MO",
            "postal_code": "640298542",
            "country_code": "US",
            "telephone_number": "816-229-4560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGER",
        "first_name": "JAMES",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-12",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2026000133",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "62466",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "7768",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "41405",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.