Active NPI
James P Birong, DDS
- Dentist
- Carrollton, OH
National Provider Identifier
1619989100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13637
- Practice address
- 1040 Trump Road
St a
Carrollton, OH 44615 - Phone
- (330) 627-5666
- Fax
- (330) 627-7889
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13637 | OH | Primary |
Addresses
Primary practice location
1040 Trump Road
St a
Carrollton, OH 44615
Mailing address
PO Box 297
1040 Trump Road St a
Carrollton, OH 44615
Phone (330) 627-5666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0541328 | Medicaid | OH |
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 and National Provider Directory roles.
-
- Dentist
- Carrollton, OH
- NPI 1588676068
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13637 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berg & Birong DDS LLC | Dentist | Past | Accepting new patients |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619989100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 297",
"address_2": "1040 TRUMP ROAD ST A",
"city": "CARROLLTON",
"state": "OH",
"postal_code": "44615",
"telephone_number": "330-627-5666",
"fax_number": "330-627-7889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 TRUMP ROAD",
"address_2": "ST A",
"city": "CARROLLTON",
"state": "OH",
"postal_code": "44615",
"telephone_number": "330-627-5666",
"fax_number": "330-627-7889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRONG",
"first_name": "JAMES",
"middle_name": "P",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "13637",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0541328",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.