Dorothea J Berry DDS, Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

52968 Issued in CA

Legal business name

DOROTHEA J BERRY DDS, INC

Doing business as

SUNCOAST ORAL SURGERY

Practice address

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

Phone

(562) 240-3054

Fax

(562) 317-5260

NPI assigned

May 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Dorothea Berry, DDS

Title

Omfs

Phone

(562) 240-3054

Specialties & licenses 1

Addresses

Other names 1

• SUNCOAST ORAL SURGERY Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Dorothea J Berry DDS, Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • San Juan Capistrano, CA
  • NPI 1659861425
  NPPES parent name

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1871083709",
    "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": "562-240-3054",
            "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": "562-240-3054",
            "fax_number": "562-317-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOROTHEA J BERRY DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "DOROTHEA",
        "authorized_official_title_or_position": "OMFS",
        "authorized_official_telephone_number": "562-240-3054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "52968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNCOAST ORAL SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Izabella Doran
• Stephany Dorantes
• Hadassah Malana Dorce
• Tayler Dorch
• David Wade Dorfman, MD, DDS
• Dorothy Akpamgbo
• Andrea Linda Dorsett
• Katrina Renee Dorsey
• Tamara Dorso, POSTPARTUM DOULA
• Carolina Atanazio Dos Santos

• 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 May 16, 2018; 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.