Active NPI
Junping Bergin, DDS
- Dentist
- Seattle, WA
National Provider Identifier
1952652299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60023543
- Practice address
- 1959 NE Pacific St
Box 357131
Seattle, WA 98195-0001 - Phone
- (206) 221-7182
- NPI assigned
- Sep 26, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60023543 | WA | Primary |
Addresses
Primary practice location
1959 NE Pacific St
Box 357131
Seattle, WA 98195-0001
Mailing address
3819 NE 45TH St
Box 357131
Seattle, WA 98105-5144
Phone (206) 866-6466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160224001554 | WA | Order and Referring Only - Other (Physician) | 8820393101 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60023543 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455321600000",
"number": "1952652299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3819 NE 45TH ST",
"address_2": "BOX 357131",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981055144",
"telephone_number": "206-866-6466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"address_2": "BOX 357131",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981950001",
"telephone_number": "206-221-7182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGIN",
"first_name": "JUNPING",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-26",
"last_updated": "2016-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60023543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2016; 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.