MARK S BERG (NPI# 1134217318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134217318 |
| Entity Type | Individual |
| Full Name | MARK S BERG |
| Credential | DDS |
| Practice Address |
443 N New Ballas Rd Ste 244 St Louis MO 63141 |
| Practice Telephone | 3149911707 |
| Practice Fax Number | 3149914608 |
| Mailing Telephone | 3149911707 |
| Mailing Fax Number | 3149914608 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
14352 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780797118 | Mark S Berg | Dentist | 213 Hempstead Ave, Lynbrook, NY 11563-1607 | 2006-08-17 |
| 1891090676 | Mark Steven Berg | Counselor | 401 W Texas Ave, Baytown, TX 77520-4751 | 2011-01-25 |
| 1972624617 | Mark Leno Berg | Emergency Medicine | 3300 Oakdale Ave N, North Memorial Medical Center, Robbinsdale, MN 55422-2926 | 2007-04-02 |
| 1245221647 | Mark A Berg | Family Medicine | 1400 1st St Ne, New Prague, MN 56071-2215 | 2005-11-03 |
| Street Address |
443 N NEW BALLAS RD STE 244 |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083739965 | Charles Joseph Meyer | Dentist | 443 N New Ballas Rd, #200, St Louis, MO 63141-6800 | 2007-03-20 |
| 1295885952 | Patricia Jean Wibbenmeyer | Social Worker | 443 N New Ballas Rd, Suite 249, St Louis, MO 63141 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295125474 | Gilbert J Cyr Jr. | Dentist | 10777 Sunset Office Dr, Ste 100, St Louis, MO 63127 | 2015-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679185045 | Daniel G Stamos Dds PC | Dentist | 5400 N Oak Trfy Ste 201, Kansas City, MO 64118-4690 | 2020-08-18 |
| 1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
| 1366993719 | Bryan Allgeier | Dentist | 3941 Bowen St, Saint Louis, MO 63116 | 2016-10-20 |
| 1811373764 | Susan S Adams | Dentist | 1321 Veterans Blvd, Festus, MO 63028-2329 | 2015-08-03 |
| 1720412463 | Shelly L. Sarich Dds,ms and Spencer Elmore Dds, Ms, PC | Dentist | 1053 Rondale Ct, Dardenne Prairie, MO 63368-7368 | 2013-08-29 |
| 1316222961 | Endodontic Associates, LLC | Dentist | 1431 Us Highway 61 South, Festus, MO 63028 | 2011-10-14 |
| 1770713265 | Endodontics South, Ltd | Dentist | 1431 Us Hwy 61 So, Festus, MO 63028 | 2009-07-20 |
| 1346483211 | Gregory Joe Powell | Dentist | 12255 De Paul Dr., Ste 885, Bridgeton, MO 63044 | 2009-04-08 |
| 1992955405 | Greater Springfield Endodontics Partnership | Dentist | 2808 S Ingram Mill Rd, Building C108, Springfield, MO 65804-4079 | 2008-09-22 |
| 1184816431 | Pearline, Dds & Roach, Dmd, PC | Dentist | 777 S New Ballas Rd Ste 201w, Saint Louis, MO 63141-8717 | 2007-08-10 |
| Find all providers with the same taxonomy | ||||
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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.