Organization Active NPI

North Berkeley Dental Arts

  • Periodontics
  • Albany, CA
National Provider Identifier
1679696645
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
50151 Issued in CA
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 50183 CA
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 46869 CA
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 20885 CA
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 50151 CA Primary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.