Individual provider Active NPI

Carita Stenfors-Berglund, D.D.S.

  • General Practice Dentistry
  • Saipan, MP
National Provider Identifier
1053437889
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8931 Issued in SC
Practice address
1 Quartermaster Road
Saipan Adventist Clinic
Saipan, MP 96950
Phone
(670) 234-6008
Fax
(670) 234-0521
NPI assigned
Mar 22, 2007
Last updated
Feb 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5145-015WI WI
General Practice Dentistry 1223G0001X 8931 SC Primary

Addresses

Primary practice location

1 Quartermaster Road
Saipan Adventist Clinic
Saipan, MP 96950

Mailing address

P.O. Box 500169
Saipan Adventist Clinic
Saipan, MP 96950
Phone (670) 234-6008

Other names 1

  • Dr. Carita Berglund Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200327002106 WI Order and Referring Only - DentistPractitioner - Dentist 7113356015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8931SCMDGeneral Practice Dentistry
5145-015WIWIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Saipan Seventh-Day Adventist Clinic Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1053437889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 500169",
            "address_2": "SAIPAN ADVENTIST CLINIC",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "96950",
            "telephone_number": "670-234-6008",
            "fax_number": "715-845-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 QUARTERMASTER ROAD",
            "address_2": "SAIPAN ADVENTIST CLINIC",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "96950",
            "telephone_number": "670-234-6008",
            "fax_number": "670-234-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENFORS-BERGLUND",
        "first_name": "CARITA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2022-02-22",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5145-015WI",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARITA",
            "last_name": "BERGLUND",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saipan, MP

Sources for this page

Verify at the official NPI Registry.