Organization Active NPI

Suzanne Berger, DDS, Inc

  • Pediatric Dentistry
  • Agoura Hills, CA
National Provider Identifier
1881807253
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
25670 Issued in CA
Legal business name
SUZANNE BERGER, DDS, INC
Practice address
28040 Dorothy Dr Ste 201
Agoura Hills, CA 91301-4916
Phone
(818) 889-2061
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Suzanne Paulette Berger, DDSNPI 1598760514
Title
President
Phone
(818) 889-2061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 25670 CA Primary

Addresses

Primary practice location

28040 Dorothy Dr Ste 201
Agoura Hills, CA 91301-4916

Mailing address

28040 Dorothy Dr Ste 201
Agoura Hills, CA 91301-4916

National Provider Directory

National Provider Directory

Locations

28040 Dorothy Dr
Ste 201
Agoura Hills, CA 91301
Phone (310) 740-0741

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881807253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28040 DOROTHY DR STE 201",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28040 DOROTHY DR STE 201",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014916",
            "telephone_number": "818-889-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE BERGER, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "PAULETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-889-2061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "25670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

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.

Verify at the official NPI Registry.