Clara Bergeron, DDS, MS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

36658 Issued in TX

Practice address

6029 Belt Line Rd Ste 120
Dallas, TX 75254-9196

Phone

(972) 503-7200

NPI assigned

Oct 28, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1225792906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8539 WESTFIELD DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436425",
            "telephone_number": "703-835-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6029 BELT LINE RD STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752549196",
            "telephone_number": "972-503-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "CLARA",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "36658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drbergeron@dallasprosthodontics.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Encrypted Email",
            "address_1": "6029 Belt Line Rd Ste 120",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752549196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kaylin Berger
• Marc S Berger V, M.D.
• Murray J Berger, LPC LMFT
• Rachel Miriam Berger, LPC
• Richard E Berger, M.D.
• Christine Elizabeth Bergesch, CRNA
• Kelley Bergeson, NP
• Rachel Bergeson
• Bergman Pediatrics P a
• Barry Eric Bergman, MD

• Prosthodontics in Dallas, TX
• Providers in Dallas, TX by specialty
• Prosthodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.