JOEL HOWARD BERG (NPI# 1063574598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063574598 |
| Entity Type | Individual |
| Full Name | JOEL HOWARD BERG |
| Credential | DDS |
| Practice Address |
1959 Ne Pacific St B242 Seattle WA 98195-7136 |
| Mailing Address |
Box 357136 1959 Ne Pacific St B242 Seattle WA 98195-7136 |
| Practice Telephone | 2065434885 |
| Practice Fax Number | 2066167470 |
| Mailing Telephone | 2065434885 |
| Mailing Fax Number | 2066167470 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DS029281R | PA | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DE00008754 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5041066 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477621449 | Joel Martin Berg | Dentist | 2018 Rock Spring Rd, Forest Hill, MD 21050-2631 | 2006-11-30 |
| Street Address |
1959 NE PACIFIC ST B242 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98195-7136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285637298 | Divis Kaur Khaira | Internal Medicine | 1959 Ne Pacific St, Seattle, WA 98195 | 2005-05-23 |
| 1225639628 | Alexandra Christina Schenck | Speech-Language Pathologist | 1959 Ne Pacific St, 3rd Floor, Ne 300, Seattle, WA 98195 | 2020-11-03 |
| 1245831692 | Lindsey Marie Graff | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-11-03 |
| 1841891165 | Yip Han Lee | Nurse Anesthetist, Certified Registered | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-11-03 |
| 1003415316 | Thuy Duong Hoang Nguyen | Pharmacist | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-10-19 |
| 1982201968 | Timothy Shan | Pharmacist | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-10-03 |
| 1245847326 | Erika Patterson | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-5063 | 2020-09-23 |
| 1932716032 | Poonam Gill | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-7263 | 2020-09-23 |
| 1962018119 | Vivian Dao | Pharmacist | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-09-22 |
| 1558977843 | Angela Schwartz | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730700741 | Christian Van Rooyen | Student in an Organized Health Care Education/Training Program | 1951 Pacific Street, Seattle, WA 98195 | 2020-04-30 |
| 1720608235 | Alexander John Arnold | Psychiatry & Neurology | 1959 Ne Pacific St, Rr650, Seattle, WA 98195 | 2020-04-24 |
| 1588127138 | Scott Boop | Student in an Organized Health Care Education/Training Program | Department of Neurological Surgery, 1959 Ne Pacific St, Box Number 356470, Seattle, WA 98195 | 2019-04-10 |
| 1275093973 | Elizabeth Grace Knoff Floodeen | Oral & Maxillofacial Surgery | University of Washington Department of Surgery, 1959 Ne Pacific Street, Seattle, WA 98195 | 2019-03-20 |
| 1780174722 | Matias Eduardo Czerwonko Pupi | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street (university of Washington Depart, Seattle, WA 98195 | 2018-05-15 |
| 1235636143 | Caitlin Aiko Harrington | Student in an Organized Health Care Education/Training Program | University of Washington Internal Medicine Residency, Seattle, WA 98195 | 2018-04-07 |
| 1851897243 | Natalie Miller | Student in an Organized Health Care Education/Training Program | University of Washington Medical Center 1959 Ne Pacific, Seattle, WA 98195 | 2018-04-04 |
| 1386140978 | Elena Luisa Pellicer | Student in an Organized Health Care Education/Training Program | Univ of Washington Dept of Obgyn, 1959 Ne Pacific St., Seattle, WA 98195 | 2018-04-02 |
| 1407386824 | Sherry S Wang | Radiology | Uw Radiology, 1959 Ne Pacific Street, Box 357115, Seattle, WA 98195 | 2017-06-18 |
| 1932638137 | Maziar Riazy | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, Rm Ne110, University of Washington Medical Center - Pathology, Seattle, WA 98195 | 2017-06-09 |
| Find all providers in zip 98195 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982057030 | Jenn-yih Lin Dds Ms Pllc | Dentist | 10202 5th Ave Ne Ste 101, Seattle, WA 98125-7472 | 2016-07-13 |
| 1821400433 | Loan Nguyen, Dds Pllc | Dentist | 5101 25th Ave Ne, Suite 6, Seattle, WA 98105-3225 | 2014-05-30 |
| 1790032506 | Brenda Huynh | Dentist | 4115 University Way Ne Ste 206, Seattle, WA 98105-6257 | 2012-08-10 |
| 1265788590 | Little Pearls Kids Dentistry | Dentist | 1542 Nw 63rd St, Seattle, WA 98107-2338 | 2012-07-24 |
| 1194089086 | Linsenmayer and Merchant, Pllc | Dentist | 945 Elliott Ave W Ste 101, Seattle, WA 98119-3607 | 2012-06-26 |
| 1750648192 | Brianne Butler | Dentist | 4235 Brooklyn Ave Ne Apt 405, Seattle, WA 98105-5920 | 2012-04-23 |
| 1104117555 | Kari Ann Sims | Dentist | 11744 Bartlett Ave Ne, Seattle, WA 98125-5835 | 2011-04-20 |
| 1154646198 | Troy C, Hull, Dmd, Ps | Dentist | 6900 E Green Lake Way N, Suite H, Seattle, WA 98115-5480 | 2010-04-01 |
| 1477787141 | Stephen J. Stuehling, D.m.d., Pllc | Dentist | 703 34th Ave, Seattle, WA 98122-5131 | 2009-05-11 |
| 1053585109 | Anna Forsyth | Dentist | 1400 Nw Market St Ste 101, Seattle, WA 98107 | 2008-04-19 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.