Zackary Drew Bergeson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

19482 Issued in MT

Practice address

1050 S Peoria St
Aurora, CO 80012-3464

Phone

(303) 367-2273

Fax

(303) 367-5385

NPI assigned

Jul 23, 2006

Last updated

Mar 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Aurora Dental Partners Prof LLP

  dba Comfort Dental Aurora

  • General Practice Dentistry
  • Aurora, CO
  • NPI 1356377956
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1922029891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22959 E SMOKY HILL RD",
            "address_2": "APT A206",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800156702",
            "telephone_number": "215-439-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 S PEORIA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123464",
            "telephone_number": "303-367-2273",
            "fax_number": "303-367-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGESON",
        "first_name": "ZACKARY",
        "middle_name": "DREW",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "19482",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9128",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09177353",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Gabriel Berg, RBT
• Mary Berg, MD
• Kelsey Bridgewater Berge, FNP-C
• Alexandra Joice Berger Eberhardt, MD
• Jessica Bergeron Mitchell, PA-C
• Amanda Rose Berggren, DO
• Jena Lynn Berghane, NP
• Kari J Bergman, CST CFA
• Karly Mackenzie Bergquist, PHARM.D.
• Erika Michelle Bergstrom, PA-C

• Dentist in Aurora, CO
• Providers in Aurora, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.