Kaylee Bergman Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

KAYLEE BERGMAN ORTHODONTICS LLC

Doing business as

Creekside Orthodontics

Practice address

4425 Indian Creek Pkwy
Overland Park, KS 66207-4013

Phone

(913) 708-0860

NPI assigned

Feb 27, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Kaylee Bergman, DDS, MSNPI 1356980882

Title

Orthodontist

Phone

(913) 708-0860

Specialties & licenses 1

Addresses

Other names 1

• Creekside Orthodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kaylee Anne Bergman, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Shawnee, KS
  • NPI 1356980882
  NPD Authorized official

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1750188652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 INDIAN CREEK PKWY",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662074013",
            "telephone_number": "913-708-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 INDIAN CREEK PKWY",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662074013",
            "telephone_number": "913-708-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYLEE BERGMAN ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "KAYLEE",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "913-708-0860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekside Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corinn L Kauzlarich, M.S., LPC
• Shawn Kavanaugh, PT
• Anna Elyse Kawase, PA-C
• Kirsten Elisabeth Kay, PTA
• Brian Kaye
• KC Character Development
• KC Concierge Services, LLC
• KC Connect Physical Therapy LLC
• KC Core Ca LLC
• KC Counseling Center

• Orthodontics and Dentofacial Orthopedics Dentistry in Overland Park, KS
• Providers in Overland Park, 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 Feb 27, 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.