Caron L Berg, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1996 Issued in ND

Practice address

239 2ND Ave NW
Valley City, ND 58072-2909

Phone

(701) 845-4221

NPI assigned

Jul 11, 2007

Last updated

Aug 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bridge City Dentistry P.C.

  • General Practice Dentistry
  • Valley City, ND
  • NPI 1437334380
  NPD Authorized official

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1053510982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 2ND AVE NW",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580722909",
            "telephone_number": "701-845-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 2ND AVE NW",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580722909",
            "telephone_number": "701-845-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "CARON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barnes County Ambulance Inc
• Barnes County Social Services
• Lisa Bayley-Neurauter
• Kathleen Bennett Zaun
• Teresa Vivian Berg-Crooks, RPH
• Ruth Lynn Berg
• Trent William Bitz, FNP-C
• Kendall William Bjerke
• Lori L Bjerke
• Lucas Reid Bopp, DPT

• General Practice Dentistry in Valley City, ND
• Providers in Valley City, ND by specialty
• General Practice Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.