NPIMap

Organization Active NPI

Craig Y. Bloom,DMD,Richard M.a. Berger, DDS, Bryan R. Krey, DMD,Apc &

  • Oral and Maxillofacial Surgery (Dentist)
  • Berkeley, CA
National Provider Identifier
1649528027
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
44912 Issued in CA
Legal business name
CRAIG Y. BLOOM,DMD,RICHARD M.A. BERGER, DDS, BRYAN R. KREY, DMD,APC &
Doing business as
Berkeley-Orinda Oral Surgery
Practice address
2522 Dana St
Suite 202
Berkeley, CA 94704-2895
Phone
(510) 848-1055
Fax
(510) 848-9100
NPI assigned
Aug 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Authorized official

Name
Dr. Bryan R. Krey, D.M.D.
Title
Vice President
Phone
(510) 848-1055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 44912 CA Primary

Addresses

Primary practice location

2522 Dana St
Suite 202
Berkeley, CA 94704-2895

Mailing address

2522 Dana St
Suite 202
Berkeley, CA 94704-2895
Phone (510) 848-1055

Other names 1

  • Berkeley-Orinda Oral Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Berkeley-Orinda Oral Surgery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2522 Dana St
Ste 202
Berkeley, CA 94704
Phone (510) 848-1055

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1649528027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 DANA ST",
            "address_2": "SUITE 202",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042895",
            "telephone_number": "510-848-1055",
            "fax_number": "510-848-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 DANA ST",
            "address_2": "SUITE 202",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042895",
            "telephone_number": "510-848-1055",
            "fax_number": "510-848-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG Y. BLOOM,DMD,RICHARD M.A. BERGER, DDS, BRYAN R. KREY, DMD,APC &",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "KREY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "510-848-1055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "44912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berkeley-Orinda Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.