Active NPI
Krista Lynn Berryhill DDS PC
- General Practice Dentistry
- Manchester, IA
National Provider Identifier
1861552614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7796
- Legal business name
- KRISTA LYNN BERRYHILL DDS PC
- Practice address
- 310 E Main St
Manchester, IA 52057 - Phone
- (563) 927-3612
- Fax
- (563) 927-8711
- NPI assigned
- Dec 11, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Krista Lynn Berryhill, DDS
- Title
- President
- Phone
- (563) 927-3612
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7796 | IA | Primary |
Addresses
Primary practice location
310 E Main St
Manchester, IA 52057
Mailing address
310 E Main St
Manchester, IA 52057
Phone (563) 927-3612
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1861552614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 E MAIN ST",
"city": "MANCHESTER",
"state": "IA",
"postal_code": "52057",
"telephone_number": "563-927-3612",
"fax_number": "563-927-8711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 E MAIN ST",
"city": "MANCHESTER",
"state": "IA",
"postal_code": "52057",
"telephone_number": "563-927-3612",
"fax_number": "563-927-8711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISTA LYNN BERRYHILL DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BERRYHILL",
"authorized_official_first_name": "KRISTA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "563-927-3612",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "7796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.