NPIMap

Organization Active NPI

Dr Eric Berla

  • General Practice Dentistry
  • Cahokia, IL
National Provider Identifier
1598092272
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019015680 Issued in IL
Legal business name
DR ERIC BERLA
Practice address
400 Water St
Cahokia, IL 62206-1602
Phone
(618) 337-7200
Fax
(618) 332-1223
NPI assigned
Nov 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Dr. Eric Berla, DMDNPI 1548288442
Title
Dentist/Owner
Phone
(618) 337-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 019015680 IL Primary

Addresses

Primary practice location

400 Water St
Cahokia, IL 62206-1602

Mailing address

400 Water St
Cahokia, IL 62206-1602
Phone (618) 337-7200

National Provider Directory

National Provider Directory

Locations

400 Water St
Cahokia, IL 62206
Phone (618) 337-7200

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": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1598092272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WATER ST",
            "city": "CAHOKIA",
            "state": "IL",
            "postal_code": "622061602",
            "telephone_number": "618-337-7200",
            "fax_number": "618-332-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WATER ST",
            "city": "CAHOKIA",
            "state": "IL",
            "postal_code": "622061602",
            "telephone_number": "618-337-7200",
            "fax_number": "618-332-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ERIC BERLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "BERLA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "618-337-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019015680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cahokia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.