DR. JAMES EDWARD BERG (NPI# 1366628406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366628406 |
| Entity Type | Individual |
| Full Name | DR. JAMES EDWARD BERG |
| Credential | D.D.S. M.S. |
| Practice Address |
1820 Washtenaw Rd Ypsilanti MI 48197-1703 |
| Mailing Address |
1974 N Huron River Dr Ste 200 Ypsilanti MI 48197-1654 |
| Practice Telephone | 7344824658 |
| Mailing Telephone | 7344824658 |
| Mailing Fax Number | 7344820233 |
| Enumeration Date | 2008-01-19 |
| Last Update Date | 2016-02-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 11528 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679798326 | James Ralph Berg | Specialist | 618 S Il Route 31, Suite 2, Mchenry, IL 60050-8273 | 2007-04-16 |
| 1912033945 | James Howard Berg | Family Medicine | 55-2247 Kynnersley Rd., Kappau, HI 96755 | 2007-02-26 |
| 1982015921 | James P Berg | Ophthalmology | 5300 North St, Nacogdoches, TX 75965 | 2014-05-13 |
| 1750528600 | James Allan Berg Jr. | Physical Therapist | 280 E Losey St, Galesburg, IL 61401-2819 | 2009-01-14 |
| 1407875370 | James Patrick Berg | Physical Therapist | 340 Capitol Ave, Bridgeport, CT 06606-5445 | 2006-07-19 |
| 1912922592 | James W Berg | Specialist | 421 Nebraska St, Sturgeon Bay, WI 54235-2249 | 2006-07-13 |
| 1962442251 | James Berg | Physician Assistant | 3271 Racquet Club Dr, Traverse City, MI 49684-4708 | 2006-06-07 |
| Street Address |
1820 WASHTENAW RD |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255548574 | Douglas W. Cole | Dentist | 1820 Washtenaw Rd, Ypsilanti, MI 48197-1703 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| 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 |
|---|---|---|---|---|
| 1588284046 | Rita Maizy | Dentist | 2792 Packard Rd, Ypsilanti, MI 48197-1932 | 2020-04-24 |
| 1639739568 | Anushey Pervez | Dentist | 1866 Packard Rd, Ypsilanti, MI 48197-1817 | 2019-06-13 |
| 1952859050 | Rabia Rashid | Dentist | 4262 Chandi Ct, Ypsilanti, MI 48197-7541 | 2016-09-17 |
| 1982075586 | Zohra Saleh | Dentist | 5736 Wellesley Ln, Ypsilanti, MI 48197-3207 | 2015-10-08 |
| 1710301783 | D2 Dental of Michigan, P.C. | Dentist | 2720 Washtenaw Rd, Ypsilanti, MI 48197-1506 | 2014-02-12 |
| 1376702472 | Annelies Sophia Cornish | Dentist | 830 W Clark Rd, Ypsilanti, MI 48198-3403 | 2008-06-03 |
| 1477769206 | Patricia Jo Labreck | Dentist | 2955 Golfside, Ypsilanti, MI 48197 | 2007-05-16 |
| 1801918107 | Stacey Hanks | Dentist | 518 Harriet St, Ypsilanti, MI 48197-5358 | 2007-04-06 |
| 1144361023 | Douglas Arthur Hock | Dentist | 4918 W Clark, #101, Ypsilanti, MI 48197 | 2007-02-12 |
| 1568515278 | Lifetime Dental Care of Michigan, P.C. | Dentist | 1820 Whittaker Rd, Ypsilanti, MI 48197-9728 | 2007-01-18 |
| Find all providers in YPSILANTI | ||||
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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.