Berry Dental FW PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BERRY DENTAL FW PLLC

Practice address

4201 E Berry St Ste 15
Fort Worth, TX 76105-5052

Phone

(972) 896-9386

NPI assigned

Mar 19, 2014

Organization subpart

No

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

Authorized official

Name

Cecile Nguyen

Title

Owner

Phone

(972) 896-9386

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1639596455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 LONGVUE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347548",
            "telephone_number": "972-896-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 E BERRY ST STE 15",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761055052",
            "telephone_number": "972-896-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRY DENTAL FW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "CECILE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-896-9386"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Bernstein
• Linda M Bernstein, M.D.
• Taylor Bernstein, RN, FNP-C
• Nathaniel Ian Berrios, P.A.-C
• Berry Braces, PLLC
• Berry Medical Care, PLLC
• Blake Berry, MD
• Hayley Berry
• Lane Michael Berry
• Lindi Renea Berry, AU.D.

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.