David Joseph Berg, DDS – General Practice Dentistry

Key facts

NPI: 1841340940
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: 35678 (CA)
Practice address: 87 Scripps Dr
Suite #314
Sacramento, CA 95825-6372
Phone: (916) 567-0900
Fax: (916) 567-0212
NPI assigned: Jan 11, 2007
Sex: Male
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
35678	CA	MD	Pharmacist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	35678	CA	Yes

Addresses

Primary practice location

87 Scripps Dr
Suite #314
Sacramento, CA 95825-6372

Mailing address

87 Scripps Dr
Suite #314
Sacramento, CA 95825-6372
Phone (916) 567-0900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841340940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 SCRIPPS DR",
            "address_2": "SUITE #314",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256372",
            "telephone_number": "916-567-0900",
            "fax_number": "916-567-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 SCRIPPS DR",
            "address_2": "SUITE #314",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256372",
            "telephone_number": "916-567-0900",
            "fax_number": "916-567-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

All providers in Sacramento, CA · General Practice Dentistry in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.