Gloria Lavern Berry Holly, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4833 Issued in NC

Practice address

305 Meadowland Dr
Hillsborough, NC 27278

Phone

(919) 732-8584

Fax

(919) 732-8545

NPI assigned

Jan 15, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Gloria Lavern Berry Former name

Medicare fee-for-service enrollment

Enrolled in NC

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hi Berry Inc

  • Dentist
  • Hillsborough, NC
  • NPI 1699878249
  NPD (past) Authorized official

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1902082415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1118",
            "address_2": "305 MEADOWLAND DR",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "27278",
            "telephone_number": "919-732-8584",
            "fax_number": "919-732-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MEADOWLAND DR",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "27278",
            "telephone_number": "919-732-8584",
            "fax_number": "919-732-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY HOLLY",
        "first_name": "GLORIA",
        "middle_name": "LAVERN",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "4833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990678",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "C50836",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "BERRY",
            "middle_name": "LAVERN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Corrie Beth Beecher, O.T.
• Francesca Behrend
• Carly Anne Miller Benbow, M.S., CF-SLP
• Benjamin Pritts DMD PLLC
• Lindsay Kohler Bennethum, PHARMD, BCOP, CPP
• Better Sleep Carolina Inc
• Irene Bihl, DNP
• Joseph Blake
• Denise Blanco-Duran
• Yaroslav Daniel Bodnar, MD

• Dentist in Hillsborough, NC
• Providers in Hillsborough, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.