Active NPI
North Berkeley Dental Arts
- Periodontics
- Albany, CA
National Provider Identifier
1679696645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 50151
- Legal business name
- NORTH BERKELEY DENTAL ARTS
- Practice address
- 901 Ventura Ave
Albany, CA 94707-2122 - Phone
- (510) 526-1757
- Fax
- (510) 526-3397
- NPI assigned
- Apr 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Norma Icarangal
- Title
- Accounting Executive
- Phone
- (510) 526-6574
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 50183 | CA | |
| Dentist | 122300000X | 46869 | CA | |
| Dentist | 122300000X | 20885 | CA | |
| Periodontics | 1223P0300X | 50151 | CA | Primary |
| Prosthodontics | 1223P0700X | 20885 | CA |
Addresses
Primary practice location
901 Ventura Ave
Albany, CA 94707-2122
Mailing address
901 Ventura Ave
Albany, CA 94707-2122
Phone (510) 526-1757
National Provider Directory
National Provider DirectoryLocations
901 Ventura Ave
Albany, CA 94707
Phone (510) 526-1757
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Albany, CA
- NPI 1649393604
-
- Periodontics
- Albany, CA
- NPI 1134342025
-
- Dentist
- Albany, CA
- NPI 1811010861
-
- General Practice Dentistry
- Albany, CA
- NPI 1619025384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1679696645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 VENTURA AVE",
"city": "ALBANY",
"state": "CA",
"postal_code": "947072122",
"telephone_number": "510-526-1757",
"fax_number": "510-526-3397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 VENTURA AVE",
"city": "ALBANY",
"state": "CA",
"postal_code": "947072122",
"telephone_number": "510-526-1757",
"fax_number": "510-526-3397"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH BERKELEY DENTAL ARTS",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "ICARANGAL",
"authorized_official_first_name": "NORMA",
"authorized_official_title_or_position": "ACCOUNTING EXECUTIVE",
"authorized_official_telephone_number": "510-526-6574"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "50183",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "46869",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "20885",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "50151",
"primary": true
},
{
"code": "1223P0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": "CA",
"license": "20885",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.