Mindful Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MINDFUL DENTISTRY

Practice address

3100 Arapahoe Ave Ste 100
Boulder, CO 80303-1050

Phone

(303) 499-0367

NPI assigned

Dec 3, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Alesia Bergan, DDSNPI 1194013094

Title

Dentist

Phone

(410) 428-1201

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Alesia Bergan, DDS

  • General Practice Dentistry
  • Rockville, MD
  • NPI 1194013094
  NPD Authorized official

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1952069205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 ZINNIA CIR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800269371",
            "telephone_number": "410-428-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 ARAPAHOE AVE STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031050",
            "telephone_number": "303-499-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "BERGAN",
        "authorized_official_first_name": "ALESIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "410-428-1201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Milner
• Dave Milton
• Natsumi Minagawa, PSY.D., LAC
• Mary G Minderman, R.N.
• Mindful and Together
• Mindful Minds Psychiatry LLC
• Mindful Recovery, Inc
• Mindful Therapy Group of Colorado, P.C.
• Mindful Therapy Group of Colorado, P.C.
• Mindhelm LLC

• General Practice Dentistry in Boulder, CO
• Providers in Boulder, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.