Individual provider Active NPI

Geoffrey A Berg, DMD

  • General Practice Dentistry
  • Albany, OR
National Provider Identifier
1841286655
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D7915 Issued in OR
Practice address
2825 Willetta St SW
Ste a
Albany, OR 97321-3846
Phone
(541) 928-2301
Fax
(541) 928-8493
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D7915 OR Primary

Addresses

Primary practice location

2825 Willetta St SW
Ste a
Albany, OR 97321-3846

Mailing address

2825 Willetta St SW
Ste a
Albany, OR 97321-3846
Phone (541) 928-2301

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

State licenses

LicenseStateTypeSpecialty
D7915ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Salemtowne Dental LLC General Practice Current Accepting new patients
Mid-Valley Dental Associates, LLC General Practice Past Accepting new patients

Locations

2825 Willetta St SW
Ste A
Albany, OR 97321
Phone (541) 928-2301

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841286655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 WILLETTA ST SW",
            "address_2": "STE A",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973213846",
            "telephone_number": "541-928-2301",
            "fax_number": "541-928-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 WILLETTA ST SW",
            "address_2": "STE A",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973213846",
            "telephone_number": "541-928-2301",
            "fax_number": "541-928-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "GEOFFREY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.