Brittany Zhang, DDS
Individual provider Active NPI General Practice Dentistry · Berkeley, CA
NPI 1619530656 · NPPES record last updated Dec 1, 2021
Key facts
- NPI
- 1619530656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DDS105156 (CA)
- Practice address
- 1100 Eastshore Hwy
Berkeley, CA 94710-1002 - Phone
- (510) 559-9971
- NPI assigned
- Apr 16, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220423000039 | CA | Order and Referring Only - Dentist |
2264829167 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS105156 | CA | MD | General Practice Dentistry |
| LL-503-19 | NV | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | LL-503-19 | NV | |
| General Practice Dentistry | 1223G0001X | DDS105156 | CA | Yes |
Addresses
Primary practice location
1100 Eastshore Hwy
Berkeley, CA 94710-1002
Mailing address
1100 Eastshore Hwy
Berkeley, CA 94710-1002
Phone (510) 559-9971
Other providers in Berkeley, CA
- Mary Louise Zernicke
- Kierra Zesati
- Alexander CHI-Yuan Zha
- Amanda Zhang
- Annie Zhang
- Cindy Erxin Zhang
- Jennifer Zhang
- Shuya Zhang
- Tony Zhang
- Yinxuan Zhang
All providers in Berkeley, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.