Robert James Bergstrom, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12308 Issued in OR

Practice address

1750 Blankenship Rd Ste 230
West Linn, OR 97068-5100

Phone

(503) 650-6599

NPI assigned

Mar 14, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Robby Bergstrom Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1710787213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 BLANKENSHIP RD STE 230",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970685100",
            "telephone_number": "503-650-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 BLANKENSHIP RD STE 230",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970685100",
            "telephone_number": "503-650-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGSTROM",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-14",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D12308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBBY",
            "last_name": "BERGSTROM",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lauren L Beeney-Garich
• Ryan Lambert Bellacov, D.C.
• Benchmark Physical Therapy of Or, LLC
• Jeni Bennett
• Mary Bergeron
• Susan M. Bernt, M.S.W., LCSW, LICSW
• Tiffany Marie Bieker, LMT
• Big Tooth Little Tooth Pediatric Dentistry PC
• Mo Biria, DMD
• Rose Marie Blacklidge, LMT

• General Practice Dentistry in West Linn, OR
• Providers in West Linn, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.