Individual provider Active NPI

Melissa Berget

  • Advanced Practice Dental Therapist
  • Saint Paul, MN
National Provider Identifier
1366130874
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice Dental TherapistTaxonomy code 125K00000X
License
DT162 Issued in MN
Practice address
450 Syndicate St N Ste 119
Saint Paul, MN 55104-4127
Phone
(651) 644-8882
NPI assigned
Apr 24, 2023
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X H11401 MN
Advanced Practice Dental Therapist 125K00000X DT162 MN Primary

Addresses

Primary practice location

450 Syndicate St N Ste 119
Saint Paul, MN 55104-4127

Mailing address

1062 Cobb Rd
Shoreview, MN 55126-8122
Phone (651) 341-8482

Other practice location 1

3803 Silver Lake Rd NE
Minneapolis, MN 55421-4574
Phone (612) 782-7000

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
H11401MNMDDental Hygienist
DT162MNMDAdvanced Practice Dental Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Tree Dental CurrentSince Mar 30, 2025 Accepting new patients
Kanji and Savtri Inc PastSince Apr 1, 2023 Accepting new patients
Twin Cities Dental PastSince Apr 1, 2023 Accepting new patients

Locations

450 Syndicate St N
Ste 119
Saint Paul, MN 55104
Phone (651) 644-8882

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1366130874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 COBB RD",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268122",
            "telephone_number": "651-341-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SYNDICATE ST N STE 119",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044127",
            "telephone_number": "651-644-8882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3803 Silver Lake Rd NE",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554214574",
            "country_code": "US",
            "telephone_number": "612-782-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGET",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MN",
            "license": "H11401",
            "primary": false
        },
        {
            "code": "125K00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Dental Therapist",
            "state": "MN",
            "license": "DT162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.