Individual provider Active NPI

Louis John Berges III, DMD

  • General Practice Dentistry
  • Glenmoore, PA
National Provider Identifier
1760975007
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS041709 Issued in PA
Practice address
1400 Horse Shoe Pike
Glenmoore, PA 19343-1143
Phone
(610) 942-3321
NPI assigned
Jun 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS041709 PA Primary

Addresses

Primary practice location

1400 Horse Shoe Pike
Glenmoore, PA 19343-1143

Mailing address

1400 Horse Shoe Pike
Glenmoore, PA 19343-1143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS041709PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Berges Family Dentistry LLC Current Accepting new patients
Hughes & Hughes Family Dentistry, LLC General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1760975007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HORSE SHOE PIKE",
            "city": "GLENMOORE",
            "state": "PA",
            "postal_code": "193431143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HORSE SHOE PIKE",
            "city": "GLENMOORE",
            "state": "PA",
            "postal_code": "193431143",
            "telephone_number": "610-942-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGES",
        "first_name": "LOUIS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenmoore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.