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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CHRISTOPHER BERGSTROM DDS
NPI 1417905381
Specialist in Appleton, WI

Active since May 04, 2006Opted out of Medicare · through Jan 3, 2028
5395 MICHAELS DR, APPLETON, WI 54913(920) 739-1214(920) 739-5855 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Christopher Bergstrom Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHRISTOPHER BERGSTROM DDS (NPI 1417905381) is an individual specialist in Appleton, Wisconsin, licensed in Wisconsin (5068015) and active in the NPI registry since May 2006. He has opted out of Medicare through January 3, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417905381
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. CHRISTOPHER BERGSTROMCredential: DDS
Location Address5395 MICHAELS DRAppleton, WI 54913-8447
Mailing Address5395 Michaels DrAppleton, WI 54913-8447 · (920) 739-1214 · Fax (920) 739-5855
Phone(920) 739-1214
Fax(920) 739-5855
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1417905381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WI · 5068015
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5395 MICHAELS DR, Appleton, WI 54913
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Wisconsin, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Christopher Bergstrom 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 January 3, 2024 through January 3, 2028.

Opt-Out Effective DateJanuary 3, 2024
Opt-Out In Effect ThroughJanuary 3, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ORAL & MAXILLOFACIAL SURGERY FOX CITIES, S.C.
Durable Medical Equipment & Medical Supplies
5395 MICHAELS DR
APPLETON, WI 54913
Outagamie County (920) 739-1214
DR. TIMOTHY IVAN ZUCK DDS
Specialist
5395 MICHAELS DR
APPLETON, WI 54913
Outagamie County (920) 739-1214
ORAL & MAXILLOFACIAL SURGERY FOX CITIES S.C.
Clinic/Center (Oral and Maxillofacial Surgery)
5395 MICHAELS DR
APPLETON, WI 54913
Outagamie County (920) 739-1214
DR. ARTHUR CLARENCE HELGERSON DDS
Specialist
5395 MICHAELS DR
APPLETON, WI 54913
Outagamie County (920) 739-1214
DR. JEFFEREY L CASPERSON DDS
Specialist
5395 MICHAELS DR
APPLETON, WI 54913
Outagamie County (920) 739-1214
DR. JOHN J. RYDLEWICZ D.D.S.
Dentist (Oral and Maxillofacial Surgery)
5395 MICHAELS DR
APPLETON, WI 54913
Outagamie County (920) 739-1214

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 Christopher Bergstrom's NPI number?

The NPI number for Christopher Bergstrom is 1417905381. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Christopher Bergstrom located?

Christopher Bergstrom practices at 5395 Michaels Dr, Appleton, WI 54913. The listed phone number is (920) 739-1214.

What is Christopher Bergstrom's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Christopher Bergstrom enrolled in Medicare?

No. Christopher Bergstrom has opted out of Medicare through January 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Christopher Bergstrom accept?

Health plans from Delta Dental of Wisconsin, Inc. list Christopher Bergstrom 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 Christopher Bergstrom was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.