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Deactivated NPI 1477557163 Deactivated / Inactive NPI Male Practitioner

Dr. John W. Berg , DDS

Dentist - General Practice • Glendale, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Berg has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 09, 2005
NPI Deactivation Date March 15, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. John Berg, DDS was a registered Dentist - General Practice practicing in Glendale, CA. Throughout an active medical career spanning 1 years, Dr. Berg provided care at the practice location at 1139 N BRAND BLVD until profile deactivation on 2006-03-15.

Practice Location & Contact Primary Location

Practice Address

1139 N Brand Blvd

Glendale, CA 912023000

Telephone 8185071144
Fax 8182426073

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Glendale, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 47.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
155 Specialists

Practicing in Glendale, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 19840

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Levon Jernazian , PhD

Psychologist - Clinical

NPI 1316216021

Doctor of Philosophy (Ph.D.)

Joanna Saporito

Social Worker - Clinical

NPI 1881706059

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated April 09, 2026

Record deactivated on April 09, 2026

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Updated Practice Location November 07, 2007

Registered at 1139 N BRAND BLVD, GLENDALE, CA 912023000 (Tel: 8185071144)

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Updated Business Mailing Address November 07, 2007

Registered at 1139 N BRAND BLVD, GLENDALE, CA 912023000 (Tel: 8185071144)

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Provider Name / Credentials Updated November 07, 2007

Recorded as JOHN BERG, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2007

Dentist (License #19840 in CA)

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NPI Profile Reactivated March 21, 2006

Record officially reactivated for active practice on March 21, 2006

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NPI Profile Deactivated March 15, 2006

Record deactivated on March 15, 2006

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Initial NPI Registration & Enumeration June 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477557163
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2005
Last Update: November 07, 2007
Deactivation Date: March 15, 2006

Mailing Address

1139 N Brand Blvd

Glendale, CA 912023000

Phone: 8185071144

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.