Jeremy L. Berning, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-023985 Issued in OH

Practice address

2783 Glenhaven Ave
Apt C
Copley, OH 44321-2179

Phone

(419) 297-3333

NPI assigned

Jun 14, 2013

Last updated

Jun 14, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1821437666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2783 GLENHAVEN AVE",
            "address_2": "APT C",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44321",
            "telephone_number": "419-297-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2783 GLENHAVEN AVE",
            "address_2": "APT C",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443212179",
            "telephone_number": "419-297-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNING",
        "first_name": "JEREMY",
        "middle_name": "L.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-023985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Banfield, RN
• Kari L Bauer
• Denise Ben Porath, PHD
• Yossef S Ben-Porath, PH.D.
• Trevon Bennett, BSW, MSW
• Nicole E Blair, COTA/L
• Shatanie Marie Brewer
• Jenna Arlene Brinker
• Gretchen Nicole Brisker, MS, OT/L
• Jessica Burger, PT, DPT

• General Practice Dentistry in Copley, OH
• Providers in Copley, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.