KEN BERLEY D.D.S. LTD. NPI 1568663821

NPI Information

NPI: 1568663821
Provider Name: KEN BERLEY, D.D.S., LTD.
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
Address: 5417 PINNACLE POINT
SUITE 200
ROGERS, AR
ZIP 72758
Phone: (479) 254-0200

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NPI Details

KEN BERLEY, D.D.S., LTD. is a general practice dentist in Rogers, AR. The provider is 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. KEN BERLEY, D.D.S., LTD. NPI is 1568663821. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5417 PINNACLE POINT
SUITE 200
ROGERS, AR
ZIP 72758-120
Phone: (479) 254-0200
Fax: (479) 254-0600

The provider's authorized official is Ken Berley .
The authorized official title is President,owner,dentist and has the following contact phone number (479) 254-0200.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 2/26/2013.

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
1	1223G0001X	Dentist	General Practice	2379	ARKANSAS	Yes

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
1	6720530001	MEDICARE NSC	ARKANSAS
2	58912	OTHER	ARKANSAS	BLUE CROSS NUMBER

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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