Individual provider Active NPI

Michael Edward Bergstein, D.D.S.

  • Dentist
  • Burnsville, MN
National Provider Identifier
1306804455
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D11218 Issued in MN
Practice address
1601 Highway 13 E
Suite 105
Burnsville, MN 55337-6865
Phone
(952) 890-5450
Fax
(952) 707-1122
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D11218 MN Primary

Addresses

Primary practice location

1601 Highway 13 E
Suite 105
Burnsville, MN 55337-6865

Mailing address

1601 Highway 13 E
Suite 105
Burnsville, MN 55337-6865
Phone (952) 890-5450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160602001138 MN Order and Referring Only - DentistPractitioner - Dentist 4284924325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Plaza Dental PA Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306804455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 HIGHWAY 13 E",
            "address_2": "SUITE 105",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376865",
            "telephone_number": "952-890-5450",
            "fax_number": "952-707-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 HIGHWAY 13 E",
            "address_2": "SUITE 105",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376865",
            "telephone_number": "952-890-5450",
            "fax_number": "952-707-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGSTEIN",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.