Charles E. Berry, III, D.M.D, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CHARLES E. BERRY, III, D.M.D, P.C.

Practice address

3117 W Charleston Blvd
Las Vegas, NV 89102-1931

Phone

(702) 384-1210

NPI assigned

Feb 7, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Charles Edwin Berry III, DMDNPI 1497368849

Title

Dentist/President

Phone

(702) 384-1210

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Charles E Berry III, DMD

  • Dentist
  • Las Vegas, NV
  • NPI 1497368849
  NPD Authorized official
• Steven Anthony Avena, DDS

  • Dentist
  • Las Vegas, NV
  • NPI 1225234669
  NPD (past)

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1740044130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021931",
            "telephone_number": "702-384-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021931",
            "telephone_number": "702-384-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E. BERRY, III, D.M.D, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "702-384-1210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Charif
• Marsha Marie Charima
• Charity'S Place LLC Dba Charity'S Place
• Jesse Thomas Charland, CPC-INT
• Charles Calder DDS MD PC
• Charles G Mahakian MD
• Charles G Watt D O P L L C
• Charles H McSwain DO PC
• Charles H. Tadlock, M.D. LTD
• Charles H. Tadlock, M.D. LTD

• Dental Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dental Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.