DR. DIANTHA JOAN BERG (NPI# 1598806697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598806697 |
| Entity Type | Individual |
| Full Name | DR. DIANTHA JOAN BERG |
| Other Name | DR. DIANTHA JOAN BALES |
| Credential | DDS |
| Practice Address |
1202 Martin Luther King Jr Way Tacoma WA 98405-3926 |
| Mailing Address |
1019 Pacific Ave Ste 300 Attn: Credentialing Tacoma WA 98402-4488 |
| Practice Telephone | 2534714743 |
| Practice Fax Number | 2534428840 |
| Mailing Telephone | 2535974550 |
| Mailing Fax Number | 2535974556 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2015-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE00006194 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DSHS PROVIDER ID | 6017 | 01 |
| WA | DENTIST LICENSE | DE00006194 | 01 |
| Street Address |
1202 MARTIN LUTHER KING JR WAY |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619955424 | James G Lenhart | Emergency Medicine | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2006-01-03 |
| 1164039707 | Josephine Eshun | Nurse Practitioner | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-09-28 |
| 1164035010 | Andrea Jordan | Nurse Practitioner | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-08-28 |
| 1417586777 | Tor Anderson | Student in an Organized Health Care Education/Training Program | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-04-07 |
| 1023647302 | Ariahnna Lynne Nietzke | Student in an Organized Health Care Education/Training Program | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-04-07 |
| 1982233292 | Joshua Monson | Student in an Organized Health Care Education/Training Program | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-04-07 |
| 1871122317 | Marina Leith | Student in an Organized Health Care Education/Training Program | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-04-06 |
| 1174152169 | Charlee Rhea Abboud | Student in an Organized Health Care Education/Training Program | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-04-02 |
| 1609401272 | Mitsy Chester | Dental Hygienist | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-03-04 |
| 1700425543 | Renjitha James | Pharmacist | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2019-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528672078 | Christopher Hieu-thanh Nguyen | Dentist | Madigan Annex Second Floor Building 9900, Tacoma, WA 98431-0001 | 2020-09-02 |
| 1699308619 | Gaurav Dudeja Pllc | Dentist | 5038 Tacoma Mall Blvd Ste A, Tacoma, WA 98409-7103 | 2020-02-18 |
| 1477032035 | Sampada Jayant Deshpande | Dentist | 4811 Wa Tau Ga Ave Ne, Tacoma, WA 98422-1799 | 2018-08-14 |
| 1962996272 | William Thomas Frei | Dentist | 9900 Lincoln St, 2nd Floor, Attn: Credentials Office, Us Army Dentac, Tacoma, WA 98327 | 2018-06-20 |
| 1720598949 | Alyssa Christine Meister Burns | Dentist | 9900 Lincoln Street (2nd Floor), Tacoma, WA 98431-0001 | 2017-10-02 |
| 1528503141 | Ajaipal Singh Sekhon, Dds, Pllc | Dentist | 2716 N 31st St, Tacoma, WA 98407-6405 | 2017-01-05 |
| 1730543240 | Dale L. Vanderschelden, Dds Chartered | Dentist | 5003 Tacoma Mall Blvd Ste 103, Tacoma, WA 98409-7120 | 2016-04-11 |
| 1639552110 | Philip Henzlik | Dentist | 9900 Lincoln St. 2nd Floor, Us Army Dentac, Tacoma, WA 98327 | 2015-07-02 |
| 1639599566 | Adam Yang Dds Ps | Dentist | 15 Oregon Ave Ste 106, Tacoma, WA 98409-7462 | 2014-04-17 |
| 1265778484 | Richard Guzha Dds LLC | Dentist | 2617 6th Ave, Tacoma, WA 98406-7204 | 2012-12-15 |
| Find all providers in TACOMA | ||||
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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.