NPIMap

Organization Active NPI

Berger Dental Group, P.a.

  • General Practice Dentistry
  • Columbia, SC
National Provider Identifier
1922070051
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1354 Issued in SC
Legal business name
BERGER DENTAL GROUP, P.A.
Practice address
5251 Forest Dr
Columbia, SC 29206-4920
Phone
(803) 787-9793
Fax
(803) 738-0300
NPI assigned
Feb 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Robert F. Berger, D.D.S.NPI 1922153790
Title
President/Dentist
Phone
(803) 787-9793

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
General Practice Dentistry 1223G0001X 1354 SC Primary

Addresses

Primary practice location

5251 Forest Dr
Columbia, SC 29206-4920

Mailing address

PO Box 6705
Columbia, SC 29260-6705
Phone (803) 787-9793

Other identifiers 2

IdentifierTypeStateIssuer
Z13548MedicaidSC
SC1354OtherSCDELTA DENTAL INSURANCE ID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922070051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6705",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292606705",
            "telephone_number": "803-787-9793",
            "fax_number": "803-738-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5251 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292064920",
            "telephone_number": "803-787-9793",
            "fax_number": "803-738-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGER DENTAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "803-787-9793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "1354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z13548",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL INSURANCE ID",
            "identifier": "SC1354",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

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.