David Alan Bergey, D.D.S.01

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS025437L Issued in PA

Practice address

550 3Rd Ave
Suite#1
Kingston, PA 18704-5806

Phone

(570) 288-9070

Fax

(570) 288-4201

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Callahan and Bergey Associates P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Kingston, PA
  • NPI 1770557118
  Medicare reassignment NPD
• Wyoming Valley Oral Surgery PLLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Kingston, PA
  • NPI 1831962323
  Medicare reassignment NPD

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386618643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 3RD AVE",
            "address_2": "SUITE#1",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045806",
            "telephone_number": "570-288-9070",
            "fax_number": "570-288-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 3RD AVE",
            "address_2": "SUITE#1",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045806",
            "telephone_number": "570-288-9070",
            "fax_number": "570-288-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGEY",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.01",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS025437L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD MEDICAL",
            "identifier": "407114",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "077001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Bednarek, MD
• Behavioral Medicine Associates of Northeastern Lennsylvania, LLC
• Kimberly A Bell, RVT
• Karen Benjamin, LSW
• William F Bergeron III, D.D.S.
• Michelle Lauren Berley Gross, MS
• Frank A Berman, D.D.S.
• Minda Bermudez, MD
• Yashaswee Bhattarai
• Blaum Breast Care Specialist LLC

• Oral and Maxillofacial Surgery (Dentist) in Kingston, PA
• Providers in Kingston, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.