MARISSA BERGTHOLD DDS
NPI 1265920086
Dentist - Oral and Maxillofacial Surgery in Overland Park, KS
About Marissa Bergthold Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARISSA BERGTHOLD DDS (NPI 1265920086) is an individual oral and maxillofacial surgery provider in Overland Park, Kansas, licensed in Kansas (62193) and active in the NPI registry since April 2018. She has opted out of Medicare through August 3, 2027 and maintains a secondary practice location in Independence.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Marissa Bergthold Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 3, 2023 through August 3, 2027.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marissa Bergthold's NPI number?
The NPI number for Marissa Bergthold is 1265920086. It was assigned to this individual provider in the NPPES registry on April 26, 2018.
Where is Marissa Bergthold located?
Marissa Bergthold practices at 7701 W 119th St, Overland Park, KS 66213. The listed phone number is (913) 529-5999.
What is Marissa Bergthold's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Marissa Bergthold enrolled in Medicare?
No. Marissa Bergthold has opted out of Medicare through August 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Marissa Bergthold accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Marissa Bergthold as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Marissa Bergthold was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
