NPIMap

Organization Active NPI

H Robert Van Den Berg DDS Inc

  • General Practice Dentistry
  • Mountain House, CA
National Provider Identifier
1669937066
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
H ROBERT VAN DEN BERG DDS INC
Practice address
230 S Sterling Dr Ste 233
Mountain House, CA 95391-3046
Phone
(209) 650-6560
Fax
(209) 407-3033
NPI assigned
Feb 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Dr. Harry Robert Van Den Berg, DDSNPI 1174727648
Title
President
Phone
(209) 650-6560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X

Addresses

Primary practice location

230 S Sterling Dr Ste 233
Mountain House, CA 95391-3046

Mailing address

1501 Bollinger Canyon Rd Ste a
San Ramon, CA 94583-1758
Phone (925) 838-0665

Other names 1

  • Splash Dental Doing business as

National Provider Directory

National Provider Directory

Locations

230 S Sterling Dr
Ste 233
Mountain House, CA 95391
Phone (209) 650-6560

230 S Sterling Dr
Ste 223
Mountain House, CA 95391

1501 Bollinger Canyon Rd
Ste A
San Ramon, CA 94583
Phone (925) 838-0665

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1669937066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BOLLINGER CANYON RD STE A",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831758",
            "telephone_number": "925-838-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S STERLING DR STE 233",
            "city": "MOUNTAIN HOUSE",
            "state": "CA",
            "postal_code": "953913046",
            "telephone_number": "209-650-6560",
            "fax_number": "209-407-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H ROBERT VAN DEN BERG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-10",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "VAN DEN BERG",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-650-6560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Splash Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Splash Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain House, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.

Verify at the official NPI Registry.