KATHERINE E BERRY RDH NPI 1194834242

NPI Information

  • NPI: 1194834242
  • Provider Name: KATHERINE E BERRY, RDH
  • Classification: Dental Hygienist - 124Q00000X
  • Entity Type: Individual
  • Address: 12000 STONE LAKE RD
    JICARILLA APACHE HEALTH CARE FACILITY, IHS
    DULCE, NM
    ZIP 87528
  • Phone: (575) 759-3291

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NPI Details

Katherine E Berry, RDH is a dental hygienist in Dulce, NM. The provider is an individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. Katherine E Berry, RDH NPI is 1194834242. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12000 STONE LAKE RD
JICARILLA APACHE HEALTH CARE FACILITY, IHS
DULCE, NM
ZIP 87528-000
Phone: (575) 759-3291
Fax: (575) 759-3651

The enumeration date for this NPI number is 8/30/2006 and was last updated on 6/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1124Q00000XDental Hygienist532WYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000K3526MEDICAIDNEW MEXICO
2320057MEDICARE OSCAR/CERTIFICATIONNEW MEXICO
3HSZ196OTHERNEW MEXICOMEDICARE PART B

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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