Individual provider Active NPI

Cathia Bergeron, D.M.D., M.S.

  • Dentist
  • Iowa City, IA
National Provider Identifier
1679762769
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
40104 Issued in IA
Practice address
The University of Iowa College of Dentistry
Departement of Operative Dentistry, DSB S-229
Iowa City, IA 52242-1010
Phone
(319) 335-6990
NPI assigned
Oct 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 40104 IA Primary

Addresses

Primary practice location

The University of Iowa College of Dentistry
Departement of Operative Dentistry, DSB S-229
Iowa City, IA 52242-1010

Mailing address

The University of Iowa College of Dentistry
Departement of Operative Dentistry, DSB S-229
Iowa City, IA 52242-1010
Phone (319) 335-6990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
40104IAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1679762769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THE UNIVERSITY OF IOWA COLLEGE OF DENTISTRY",
            "address_2": "DEPARTEMENT OF OPERATIVE DENTISTRY, DSB S-229",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421010",
            "telephone_number": "319-335-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE UNIVERSITY OF IOWA COLLEGE OF DENTISTRY",
            "address_2": "DEPARTEMENT OF OPERATIVE DENTISTRY, DSB S-229",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421010",
            "telephone_number": "319-335-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "CATHIA",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "40104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.