Individual provider Active NPI

Aaron Berger, DMD

  • General Practice Dentistry
  • Shepherdsville, KY
National Provider Identifier
1851408983
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8338 Issued in KY
Practice address
111 Lees Valley Rd
Shepherdsville, KY 40165
Phone
(502) 955-7102
Fax
(502) 921-4068
NPI assigned
Aug 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 8338 KY Primary

Addresses

Primary practice location

111 Lees Valley Rd
Shepherdsville, KY 40165

Mailing address

11708 Main St
Middletown, KY 40243-1426
Phone (502) 245-8627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160517002003 KY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8325337165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8338KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Periodontic & Endodontic Services Past Accepting new patients
Mortenson Family Dental Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851408983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11708 MAIN ST",
            "city": "MIDDLETOWN",
            "state": "KY",
            "postal_code": "402431426",
            "telephone_number": "502-245-8627",
            "fax_number": "502-245-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LEES VALLEY RD",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "40165",
            "telephone_number": "502-955-7102",
            "fax_number": "502-921-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "AARON",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherdsville, KY

Sources for this page

Verify at the official NPI Registry.