Individual provider Active NPI

Dean H Bergmeier, COTA/L

  • Occupational Therapy Assistant
  • Topeka, KS
National Provider Identifier
1275199440
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
369568 Issued in KS
Practice address
500 SW 42ND St
Topeka, KS 66609-1241
Phone
(785) 643-1698
NPI assigned
May 14, 2019
Last updated
May 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 369568 KS Primary

Addresses

Primary practice location

500 SW 42ND St
Topeka, KS 66609-1241

Mailing address

747 S 2ND St
Salina, KS 67401-4901
Phone (785) 643-1698

Other identifiers 1

IdentifierTypeStateIssuer
1801417OtherKSKANSAS BOARD OF HEALING ARTS

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

State licenses

LicenseStateTypeSpecialty
369568KSMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1275199440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 S 2ND ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014901",
            "telephone_number": "785-643-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SW 42ND ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666091241",
            "telephone_number": "785-643-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMEIER",
        "first_name": "DEAN",
        "middle_name": "H",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KS",
            "license": "369568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS BOARD OF HEALING ARTS",
            "identifier": "1801417",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.