Berger Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BERGER DENTAL CORPORATION

Practice address

180 Otay Lakes Rd Ste 204
Bonita, CA 91902-2444

Phone

(619) 955-0669

Fax

(619) 479-9053

NPI assigned

Feb 26, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Vitaliy BergerNPI 1174780274

Title

President

Phone

(619) 955-0669

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Vitaliy Jacob Berger, DDS

  • General Practice Dentistry
  • Bonita, CA
  • NPI 1174780274
  NPD Authorized official

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1821854175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 OTAY LAKES RD STE 204",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919022444",
            "telephone_number": "619-955-0669",
            "fax_number": "619-479-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 OTAY LAKES RD STE 204",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919022444",
            "telephone_number": "619-955-0669",
            "fax_number": "619-479-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGER DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-24",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "VITALIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-955-0669",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avant Health SD LLC
• Cristina Livier Bahena
• Julie Ann Ball, PHARMD
• Jada Banko, DACM
• Kristen Barnum, PA
• Vitaliy Jacob Berger, DDS
• Jody Warren Bethea, PT
• Ryan Birtcher, PA
• Bonita Cardiovascular Med GRP Inc
• Bonita Drive Thru Pharmacy

• General Practice Dentistry in Bonita, CA
• Providers in Bonita, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.