John B Berg Jr DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JOHN B BERG JR DDS PLLC

Practice address

415 S Germantown Rd
Chattanooga, TN 37411-5026

Phone

(423) 624-6241

Fax

(423) 624-0783

NPI assigned

Aug 6, 2019

Organization subpart

No

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

Authorized official

Name

Holly Dickerson

Title

Clerical

Phone

(423) 624-6241

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 3

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

• Michael John Duvall, D.D.S.

  • General Practice Dentistry
  • Chattanooga, TN
  • NPI 1295122919
  NPD
• John Barton Berg Jr., DDS

  • General Practice Dentistry
  • Chattanooga, TN
  • NPI 1497761423
  NPD (past)
• James R McPherson, D.D.S.

  • General Practice Dentistry
  • Chattanooga, TN
  • NPI 1023286960
  NPD (past)

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1699320796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S GERMANTOWN RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115026",
            "telephone_number": "423-624-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S GERMANTOWN RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115026",
            "telephone_number": "423-624-6241",
            "fax_number": "423-624-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN B BERG JR DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "CLERICAL",
        "authorized_official_telephone_number": "423-624-6241"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL INSURANCE PLANS",
            "identifier": "DS4054",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Chattanooga",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Chattanooga",
            "address_1": "415 S Germantown Rd",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374115026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• JMD Ortho PLLC
• JML Global Services
• Charles Scott Joels, MD
• Kristen L. Joels, M.D.
• John a. Shull, M.D., P.C.
• John Chrostowski, MD,PLLC
• John E Miller MD PC
• Jeswin Brigit John
• Sunshine Suzanne John, PA-C
• Jessica Johns, LMSW

• General Practice Dentistry in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.