Individual provider Active NPI

Joel Aron Berley, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Plantation, FL
National Provider Identifier
1831402171
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN19218 Issued in FL
Practice address
7500 NW 5TH St
#105
Plantation, FL 33317-1612
Phone
(954) 792-5544
NPI assigned
Jul 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN19218 FL Primary

Addresses

Primary practice location

7500 NW 5TH St
#105
Plantation, FL 33317-1612

Mailing address

7500 NW 5TH St
#105
Plantation, FL 33317-1612
Phone (954) 792-5544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 22, 2019 through Feb 22, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN19218FLMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1831402171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 NW 5TH ST",
            "address_2": "#105",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171612",
            "telephone_number": "954-792-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 NW 5TH ST",
            "address_2": "#105",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171612",
            "telephone_number": "954-792-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLEY",
        "first_name": "JOEL",
        "middle_name": "ARON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN19218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.