Berkshire Da, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BERKSHIRE DA, PLLC

Practice address

1260 Broadcasting Rd Ste 100
Wyomissing, PA 19610-3224

Phone

(610) 376-3210

NPI assigned

Jul 1, 2022

Last updated

Jul 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sherry Beissel

Title

Practice Administrator

Phone

(610) 374-4524

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert J Shuttlesworth, D.D.S

  • General Practice Dentistry
  • Wyomissing, PA
  • NPI 1154681427
  NPD (past)
• Patti Gayle Stokes, D.D.S

  • Dentist
  • Wyomissing, PA
  • NPI 1750641023
  NPD (past)

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1871226449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 BROADCASTING RD STE 100",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103224",
            "telephone_number": "610-376-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 BROADCASTING RD STE 100",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103224",
            "telephone_number": "610-376-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE DA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "BEISSEL",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "610-374-4524",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berks Pain Management
• Berks Physician Associates, LLC
• Berks Plastic Surgery Institute PC
• Berks Therapeutic Alliance
• Berkshire Allergy & Asthma Center, Inc
• Berkshire Dental Associates, LTD.
• Berkshire Eye Surgery Center LP
• Berkshire Eye, LLC
• Berkshire Family Medicine, PC
• Berkshire Orthopedic Associates, Inc.

• General Practice Dentistry in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.