DR. BRUCE ALAN VANDE BERG (NPI# 1164521043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164521043 |
| Entity Type | Individual |
| Full Name | DR. BRUCE ALAN VANDE BERG |
| Credential | DDS |
| Practice Address |
1010 High House Rd Suite 100 Cary NC 27513-3576 |
| Practice Telephone | 9194610110 |
| Practice Fax Number | 9194610114 |
| Mailing Telephone | 9194610110 |
| Mailing Fax Number | 9194610114 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6408 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 98762 | 01 | |
| UNITED CONCORDIA | 112637 | 01 | |
| CIGNA | 218581 | 01 | |
| AETNA | 5846074 | 01 |
| Street Address |
1010 HIGH HOUSE RD SUITE 100 |
| City | CARY |
| State | NC |
| Zip Code | 27513-3576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437125663 | Kim A Miller | Dentist | 1010 High House Rd, Suite 200, Cary, NC 27513-3576 | 2006-02-27 |
| 1013416130 | Physical Therapy Partners | Physical Therapist | 1010 High House Rd, Suite #105, Cary, NC 27513 | 2018-02-04 |
| 1962713867 | Sheel Desai Solomon | Dermatology | 1010 High House Rd, 202, Cary, NC 27513-3576 | 2010-06-24 |
| 1427261593 | Kim A. Miller, Dds,pa | Dentist | 1010 High House Rd, Suite 200, Cary, NC 27513-3576 | 2007-05-07 |
| 1215157607 | David N Williams | Dentist | 1010 High House Rd, Ste 102, Cary, NC 27513-3576 | 2007-04-26 |
| 1104957778 | Raymond Garrison Dds Pa - Uda | Dentist | 1010 High House Rd, Suite 201, Cary, NC 27513-3576 | 2007-03-08 |
| 1174622054 | Robert Alan Englehardt | Dentist | 1010 High House Rd, Suite 100, Cary, NC 27513-3576 | 2006-09-21 |
| 1891898060 | Drs. Englehardt & Vande Berg, Dds, Pa | Dentist | 1010 High House Rd, Suite 100, Cary, NC 27513-3576 | 2006-09-06 |
| 1275635708 | Thomas Frederic Starck | Dentist | 1010 High House Rd, Suite 201, Cary, NC 27513-3576 | 2006-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525155 | Erikare At Home | In Home Supportive Care | 1750 Nw Maynard Road, Ste 100, Office 103, Cary, NC 27513 | 2020-07-13 |
| 1811527583 | Octavia Shada Allen | Behavior Technician | 15501 Western Parkway Suite 130, Cary, NC 27513 | 2020-01-22 |
| 1790249605 | Carolyn Ann Berlin | Nurse Practitioner | 3600 Northwest Cary Pkwy. Suite 104, Cary, NC 27513 | 2019-01-24 |
| 1346722550 | Wesley B Smith Dds Pa | Dentist | 130 Preston Executive Drive Suite 203, Cary, NC 27513 | 2018-09-04 |
| 1366920852 | Tsua Lor | Dentist | 3122 Lakeside View Ct, Cary, NC 27513 | 2018-08-06 |
| 1184133894 | Rebekah Lee Crisp | Occupational Therapist | Leagacy Healthcare Services At Searstone, 210 Walker Stone Drive, Cary, NC 27513 | 2017-09-26 |
| 1790203354 | Babies On The Move LLC | Physical Therapist | 100 Cavendish Dr, Cary, NC 27513 | 2017-09-05 |
| 1790157881 | Riccobene & Associates Xii, Dds, P.a. | Clinic/Center | 1203 Nw Maynard Road, Cary, NC 27513 | 2015-10-28 |
| 1508237413 | Riccobene & Associates Xv, Dds, P.a. | Clinic/Center | 1203 Northwest Maynard Road, Cary, NC 27513 | 2015-10-19 |
| 1104293356 | Katherine J Gooding | Audiologist-Hearing Aid Fitter | 301 Maynard Crossing Court, Cary, NC 27513 | 2015-08-24 |
| Find all providers in zip 27513 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744780 | Joseph Short | Dentist | 300 Waldo St, Cary, NC 27511-3538 | 2020-09-11 |
| 1174177703 | Prathibha Mudalapuram | Dentist | 346 Sembler Ln, Cary, NC 27519-2609 | 2019-07-31 |
| 1407414766 | Helen Elizabeth May | Dentist | 521 Balsam Fir Dr, Cary, NC 27519-7605 | 2019-06-03 |
| 1376026294 | Rhythm Fadia | Dentist | 1316 Alston Forest Dr, Cary, NC 27519-7604 | 2018-09-07 |
| 1598293516 | James Zhong | Dentist | 4008 Castlemaine Ct, Cary, NC 27519-9207 | 2017-06-03 |
| 1508392358 | Michael K. Bielinski Dds Family & Cosmetic Dentistry | Dentist | 101 Sw Cary Pkwy Ste 60, Cary, NC 27511-7728 | 2017-05-11 |
| 1487188967 | O'brien and West, Dmd IIi, Pllc | Dentist | 1325 Bradford View Dr., Suite 120, Cary, NC 27519-9806 | 2017-04-12 |
| 1730539651 | Anna Liakh | Dentist | 8204 Tryon Woods Dr, Cary, NC 27518 | 2016-06-21 |
| 1114373891 | Sushma Kola | Dentist | 509 Methven Grove Dr, Cary, NC 27519-0115 | 2016-05-11 |
| 1710360466 | Javeria Nasir | Dentist | 321 New Milford Rd, Cary, NC 27519-6467 | 2015-06-30 |
| Find all providers in CARY | ||||
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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.