Individual provider Active NPI

Garrett Warner Berry, DMD

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1619546009
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7483 Issued in NV
Practice address
9777 Bermuda Rd Ste 100
Las Vegas, NV 89183-3571
Phone
(702) 699-5551
NPI assigned
Jun 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7483 NV Primary

Addresses

Primary practice location

9777 Bermuda Rd Ste 100
Las Vegas, NV 89183-3571

Mailing address

7120 Cabin Fever St Unit 102
Las Vegas, NV 89149-3142
Phone (702) 528-1333

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

Practice roles

OrganizationSpecialtyStatusNew patients
Berry Family Dental PLLC CurrentSince Nov 18, 2025 Accepting new patients
Jenkins Dental Partners PC Past Accepting new patients

Locations

6525 N Buffalo Dr
Ste 180
Las Vegas, NV 89131
Phone (702) 256-8000

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1619546009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 CABIN FEVER ST UNIT 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891493142",
            "telephone_number": "702-528-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 BERMUDA RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891833571",
            "telephone_number": "702-699-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "GARRETT",
        "middle_name": "WARNER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.