Individual provider

Michele Bergen, D.M.D., M.D.

Oral and Maxillofacial Surgery (Dentist) Oral & Maxillofacial Surgery (D.M.D.) Medicare enrolled

Michele Bergen, D.M.D., M.D. is a provider specialising in Oral and Maxillofacial Surgery (Dentist) in Greenwich, CT, registered under NPI 1215929286. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 49 LAKE AVE, Greenwich, CT 06830. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

49 LAKE AVE, Greenwich, CT 06830 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
009275 CT Oral and Maxillofacial Surgery (Dentist) primary
042206 CT Oral & Maxillofacial Surgery (D.M.D.)
050181 NY Oral and Maxillofacial Surgery (Dentist)
231685 NY Oral & Maxillofacial Surgery (D.M.D.)

Licences are recorded in 2 states: CT, NY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Maxillofacial Surgery
PAC ID
4880643436

Medicare enrolment is recorded as approved under the provider type Practitioner - Maxillofacial Surgery. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Connecticut and New York. The practice address on file is in Greenwich, CT, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CT Connecticut practice address
Licence
009275
Specialty
Oral and Maxillofacial Surgery (Dentist)
Verify with the CT board →
NY New York
Licence
050181
Specialty
Oral and Maxillofacial Surgery (Dentist)
Verify with the NY board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Oral and Maxillofacial Surgery covers

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. NUCC Health Care Provider Taxonomy, code 1223S0112X
Dental Providers Dentist Oral and Maxillofacial Surgery

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1223S0112X Oral and Maxillofacial Surgery (Dentist) Oral and Maxillofacial Surgery 009275 CT primary
204E00000X Oral & Maxillofacial Surgery (D.M.D.) 042206 CT
1223S0112X Oral and Maxillofacial Surgery (Dentist) Oral and Maxillofacial Surgery 050181 NY
204E00000X Oral & Maxillofacial Surgery (D.M.D.) 231685 NY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1215929286 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 16, 2005
Last updatedAug 8, 2012
StatusActive
Sole proprietorNo
CredentialD.M.D., M.D.
Practice address 49 LAKE AVE
Greenwich, CT 06830
(203) 661-4231
Fax (203) 661-0155
Other identifiers 001422063 (CT)
This record was last updated on Aug 8, 2012, roughly 14 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1215929286 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 1 5 9 2 9 2 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 2 5 9 2 9 2 7

Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1215929286?
NPI 1215929286 is the National Provider Identifier assigned to Michele Bergen, D.M.D., M.D. in Greenwich, CT. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Oral and Maxillofacial Surgery cover?
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
How do I contact Michele Bergen, D.M.D., M.D.?
The phone number on file with NPPES is (203) 661-4231, last updated Aug 8, 2012. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Michele Bergen, D.M.D., M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1215929286 a valid number?
Yes. 1215929286 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.