Individual provider Active NPI

Luke Berson, DMD

  • Dentist
  • Georgetown, SC
National Provider Identifier
1821775693
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10579 Issued in SC
Practice address
632 Front St
Georgetown, SC 29440-3624
Phone
(843) 546-5994
NPI assigned
Jul 3, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10579 SC Primary

Addresses

Primary practice location

632 Front St
Georgetown, SC 29440-3624

Mailing address

632 Front St
Georgetown, SC 29440-3624
Phone (843) 546-5994

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph and Berson LLC CurrentSince Oct 21, 2025 Accepting new patients
Joseph and Joseph P.a. PastSince Jul 9, 2023 Accepting new patients

Locations

632 Front St
Georgetown, SC 29440
Phone (843) 546-5994

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": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1821775693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 FRONT ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403624",
            "telephone_number": "843-546-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 FRONT ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403624",
            "telephone_number": "843-546-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERSON",
        "first_name": "LUKE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "10579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.