Bridge City Dentistry P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1996 Issued in ND

Legal business name

BRIDGE CITY DENTISTRY P.C.

Practice address

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

Phone

(701) 845-4221

NPI assigned

Jan 9, 2008

Last updated

Aug 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Caron Lyn Berg, D.D.S.NPI 1053510982

Title

Dentist

Phone

(701) 845-4221

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dental Associates of Valley City P.C. Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Caron L Berg, D.D.S.

  • General Practice Dentistry
  • Valley City, ND
  • NPI 1053510982
  NPD Authorized official
• Tessa Lagein

  • Dentist
  • Valley City, ND
  • NPI 1275970238
  NPD

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1437334380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 CENTRAL AVE S",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580723325",
            "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": {
        "organization_name": "BRIDGE CITY DENTISTRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "CARON",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "701-845-4221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053510982",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073681953",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Associates of Valley City P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Dental Associates of Valley City P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kendall William Bjerke
• Lori L Bjerke
• Lucas Reid Bopp, DPT
• Sharon Robin Bratrud, M.S., ATC, LAT
• Michael G Bresnahan, PT
• Brighter Days Therapy
• Brown Chiropractic Centre PC
• Brown Chiropractic Centre, PC
• Gabriel Duane Brown, DC
• Jeffrey Duane Brown, DC

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.