Samuel S Berro, D.D.S

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D28905 Issued in CA

Practice address

3662 Katella Ave
Ste 200
Los Alamitos, CA 90720-3124

Phone

(562) 598-3333

Fax

(562) 598-3337

NPI assigned

Feb 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1669513990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3662 KATELLA AVE",
            "address_2": "SUITE 200",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203124",
            "telephone_number": "562-598-3333",
            "fax_number": "562-598-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 KATELLA AVE",
            "address_2": "STE 200",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203124",
            "telephone_number": "562-598-3333",
            "fax_number": "562-598-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRO",
        "first_name": "SAMUEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "D28905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne-Marie Bergeron, PPS
• Arnie Perea Bergula, PAC
• Deborah J Bernal, M.F.T.
• Bernard Azer, DO, Inc.
• Johannes A. Bernbeck, MD
• Vichai Bhoopat, M.D.
• Kristin A Biddle, R.D.
• Biogene Diagnostics Inc.
• Biomega Corporation
• Bizhan Eshaghzadeh&Dalia Niknam DDS PC

• Orthodontics and Dentofacial Orthopedics Dentistry in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.