Active NPI
Akiva Reuven Berger, D.D.S.
- Dentist
- Beachwood, OH
National Provider Identifier
1639617590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30.026160
- Practice address
- 24300 Chagrin Blvd Ste 111
Beachwood, OH 44122-5629 - Phone
- (216) 514-9440
- Fax
- (216) 514-9450
- NPI assigned
- Feb 10, 2017
- 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 | 30.026160 | OH | Primary |
Addresses
Primary practice location
24300 Chagrin Blvd Ste 111
Beachwood, OH 44122-5629
Mailing address
24300 Chagrin Blvd Ste 111
Beachwood, OH 44122-5629
Phone (404) 513-4789
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.026160 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicholas S Katchen DDS PC | Past | Accepting new patients | |
| William B Horn DDS PC | Dentist | Past | Accepting new patients |
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.
-
- Dental Anesthesiology
- Port Jervis, NY
- NPI 1992232441
-
- Dentist
- Port Jervis, NY
- NPI 1437260155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1639617590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24300 CHAGRIN BLVD STE 111",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225629",
"telephone_number": "404-513-4789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24300 CHAGRIN BLVD STE 111",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225629",
"telephone_number": "216-514-9440",
"fax_number": "216-514-9450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "AKIVA",
"middle_name": "REUVEN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-10",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.026160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.