Kaylee Anne Bergman, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

61527 Issued in KS

Practice address

6804 Silverheel St
Shawnee, KS 66226-5300

Phone

(913) 441-7321

NPI assigned

Jan 1, 2020

Last updated

Jan 1, 2020By the provider in NPPES

Sex

Female

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

• Kaylee Anne Cocke Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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

• Kaylee Bergman Orthodontics LLC

  dba Creekside Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Overland Park, KS
  • NPI 1750188652
  NPD Authorized official

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

{
    "created_epoch": "1577836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577836800000",
    "number": "1356980882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613 DEARBORN ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662072823",
            "telephone_number": "913-708-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6804 SILVERHEEL ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662265300",
            "telephone_number": "913-441-7321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14424 Metcalf Ave",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662232989",
            "country_code": "US",
            "telephone_number": "913-441-7321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8600 W 95th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662123240",
            "country_code": "US",
            "telephone_number": "913-442-7321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "KAYLEE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-01",
        "last_updated": "2020-01-01",
        "certification_date": "2020-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KS",
            "license": "61527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLEE",
            "last_name": "COCKE",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael J. Beezley, M.D.
• Behavioral Services of Johnson County, LLC
• Natasha Collette Belcher
• Emily Bell
• Amy Beneke, RN
• Michael Morgan Bergman, A.R.N.P.
• Guy V Berley, LSCSW
• Jordan Berry, LCSW
• Kristen Marie Bertoncin, MS
• Bescare Home Health Agency

• Orthodontics and Dentofacial Orthopedics Dentistry in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2020; 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.