Dorothea Berry, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

52968 Issued in CA

Practice address

2690 Pacific Ave Ste 250
Long Beach, CA 90806-2663

Phone

(855) 413-5009

Fax

(562) 317-5260

NPI assigned

Dec 9, 2006

Last updated

Feb 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: dberry@direct.westerndental.com

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.

• Joseph L. McQuirter, D.D.S., Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Culver City, CA
  • NPI 1851649123
  Medicare reassignment
• Dorothea J Berry DDS, Inc

  dba Suncoast Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • San Juan Capistrano, CA
  • NPI 1659861425
  NPD (past) Authorized official
• Dorothea J Berry DDS, Inc

  dba Suncoast Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Long Beach, CA
  • NPI 1871083709
  Authorized official Same address or phone

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1851451108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 PACIFIC AVE STE 250",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062663",
            "telephone_number": "855-413-5009",
            "fax_number": "562-317-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 PACIFIC AVE STE 250",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062663",
            "telephone_number": "855-413-5009",
            "fax_number": "562-317-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "DOROTHEA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-09",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "52968",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "52968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kourosh Beroukhim, M.D.
• Shiva Beroukhim
• Lia Dawn Berquist
• Antonio Berru
• Ashley Berry
• Elizabeth Janea Berry
• Linda Patricia Berry, LCSW
• Tren'Nell Danyell Berry
• Caitlin Bertelsen, MD
• Madison Bertran

• Oral and Maxillofacial Surgery (Dentist) in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.