Eliza Berris DDS, Inc.

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

ELIZA BERRIS DDS, INC.

Practice address

19851 Yorba Linda Blvd Ste 201-202
Yorba Linda, CA 92886-2864

Phone

(714) 777-9403

NPI assigned

Aug 26, 2019

Last updated

Nov 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eliza Berris, DDS

Title

Owner

Phone

(714) 777-9403

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604707200000",
    "number": "1619524428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19851 YORBA LINDA BLVD STE 201-202",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928862864",
            "telephone_number": "714-777-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19851 YORBA LINDA BLVD STE 201-202",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928862864",
            "telephone_number": "714-777-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZA BERRIS DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2020-11-07",
        "certification_date": "2020-11-07",
        "status": "A",
        "authorized_official_last_name": "BERRIS",
        "authorized_official_first_name": "ELIZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-777-9403",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery Clinic/Center in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2020; 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.