Individual provider Active NPI

Sarah Kathryn Berry, DDS

  • Dentist
  • Monroe, LA
National Provider Identifier
1629861067
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7664 Issued in LA
Practice address
2914 Betin Ave
Monroe, LA 71201-7258
Phone
(318) 388-1250
NPI assigned
May 28, 2025
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7664 LA Primary

Addresses

Primary practice location

2914 Betin Ave
Monroe, LA 71201-7258

Mailing address

PO Box 14062
Monroe, LA 71207-4062
Phone (601) 951-9850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250717001874 LA Practitioner - Dentist 6800301870 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Services Center Current Accepting new patients
Primary Health Services Center CurrentSince Jun 27, 2025 Accepting new patients
Primary Health Services Center CurrentSince Jun 27, 2025 Accepting new patients
Primary Health Services Center PastSince Oct 5, 2025 Accepting new patients
Primary Health Services Center Past Accepting new patients

Locations

2913 Desiard St
Monroe, LA 71201
Phone (318) 651-9914

2915 Betin Ave
Monroe, LA 71201
Phone (318) 323-4450

2945 Renwick St
Monroe, LA 71201
Phone (318) 654-8760

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1629861067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14062",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712074062",
            "telephone_number": "601-951-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 BETIN AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017258",
            "telephone_number": "318-388-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "SARAH",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "7664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.