Basma Abdel Aziz Berry, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901601683 Issued in MI

Practice address

25850 Eureka Rd
Taylor, MI 48180-4924

Phone

(734) 992-8688

NPI assigned

May 30, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dearborn Family Dental LLC

  • Dental Clinic/Center
  • Dearborn, MI
  • NPI 1770266843
  NPD Authorized official

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1780377317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14451 LANSON AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25850 EUREKA RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804924",
            "telephone_number": "734-992-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "BASMA",
        "middle_name": "ABDEL AZIZ",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vickie Lynn Bergen, PHD LP
• Shelby R Berger, RDH
• Yvon Bergner
• David Joel Berris, DDS
• Berry Dental
• Hussein Berry, DMD
• Sonja Berry
• Tammy Lynn Berry, PHARM D
• Caitlin Christine Bertch, OTRL
• Best Home Health Services Inc

• General Practice Dentistry in Taylor, MI
• Providers in Taylor, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.