Individual provider Active NPI

Steven Gary Berwitz, D.M.D

  • General Practice Dentistry
  • Savannah, GA
National Provider Identifier
1891956447
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN014107 Issued in GA
Practice address
7 Oglethorpe Professional Blvd
Suite 2
Savannah, GA 31406-3608
Phone
(912) 355-5004
NPI assigned
Jun 17, 2008
Last updated
Mar 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4657 SC
General Practice Dentistry 1223G0001X DI02378200 NJ
General Practice Dentistry 1223G0001X DN014107 GA Primary

Addresses

Primary practice location

7 Oglethorpe Professional Blvd
Suite 2
Savannah, GA 31406-3608

Mailing address

7 Oglethorpe Professional Blvd
Suite 2
Savannah, GA 31406-3608
Phone (912) 355-5004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 16, 2017 through May 16, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4657SCMDMental Health Counselor
DN014107GAMDGeneral Practice Dentistry
DI02378200NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1891956447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 OGLETHORPE PROFESSIONAL BLVD",
            "address_2": "SUITE 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063608",
            "telephone_number": "912-355-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 OGLETHORPE PROFESSIONAL BLVD",
            "address_2": "SUITE 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063608",
            "telephone_number": "912-355-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERWITZ",
        "first_name": "STEVEN",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4657",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI02378200",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.