DR. MICHEL LAURENTIUS VAN BERGEN (NPI# 1528256922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528256922 |
| Entity Type | Individual |
| Full Name | DR. MICHEL LAURENTIUS VAN BERGEN |
| Credential | D.M.D |
| Practice Address |
450 Sutter St Suite 1932 San Francisco CA 94108-4206 |
| Practice Telephone | 4159867655 |
| Practice Fax Number | 4159866967 |
| Mailing Telephone | 4159867655 |
| Mailing Fax Number | 4159866967 |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
30874 | CA | Dental Providers |
| Street Address |
450 SUTTER ST SUITE 1932 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94108-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740287432 | Kelvin Wayne Hall | Dentist | 450 Sutter St, Suite 1330, San Francisco, CA 94108-4206 | 2005-07-07 |
| 1376069427 | James Pak Md Incorporated | Anesthesiology | 450 Sutter St, San Francisco, CA 94108-4206 | 2017-08-21 |
| 1497280374 | Dehghani D M D Dental Corp | Dentist | 450 Sutter St, Suite 2500, San Francisco, CA 94108-4206 | 2017-04-27 |
| 1427581206 | Melissa Tuft, Dds | Dentist | 450 Sutter St, Suite 1619, San Francisco, CA 94108-4206 | 2017-04-07 |
| 1164962106 | Hps California LLC | Specialist | 450 Sutter St, San Francisco, CA 94108-4206 | 2017-02-23 |
| 1114466836 | Panorama Surgery Center, LLC | Clinic/Center | 450 Sutter St, Suite 2632, San Francisco, CA 94108-4206 | 2017-02-14 |
| 1790231256 | Golden Gate Surgery Center LLC | Clinic/Center | 450 Sutter St, 5th Fl, San Francisco, CA 94108-4206 | 2016-08-25 |
| 1831556778 | Officemd, A Medical Corporation | Clinic/Center | 450 Sutter St, Suite 1723, San Francisco, CA 94108-4206 | 2016-01-22 |
| 1689043804 | Suzie Yang | Dentist | 450 Sutter St, Rm 2500, San Francisco, CA 94108-4206 | 2015-09-17 |
| 1518333038 | Azar Sona Saeidi Dmd Inc | Dentist | 450 Sutter St, Suite 2500, San Francisco, CA 94108-4206 | 2015-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801431341 | Victoria Rae Storr | Psychologist | 447 Sutter St., Ste 429, San Francisco, CA 94108 | 2019-11-07 |
| 1104307792 | Kip Therapy Licensed Clinical Social Worker, P.C. | Psychologist | 600 California, San Francisco, CA 94108 | 2018-08-22 |
| 1245735752 | Adele Z Feng | Pharmacist | 251 Kearny St Fl 7, San Francisco, CA 94108 | 2018-03-27 |
| 1659818003 | Webster Surgery Center San Francisco, Lp | Clinic/Center | 450 Sutter St - Suite 400, San Francisco, CA 94108 | 2017-01-24 |
| 1114373370 | Daniel Peixoto Irby | Psychiatry & Neurology | 360 Post St Ste #500, San Francisco, CA 94108 | 2016-05-06 |
| 1902218837 | Deschamps-braly Foundation for Pediatric Craniofacial Maladies | Surgery | 450 Sutter St. #1520, San Francisco, CA 94108 | 2014-05-27 |
| 1356694202 | Chinese Hospital | Acupuncturist | 445 Grant Avenue, Ground Floor, San Francisco, CA 94108 | 2012-10-16 |
| 1831424464 | Kara Mosesso | Nurse Practitioner | 445 Bush St Ste 300, San Francisco, CA 94108 | 2009-10-15 |
| 1043451503 | Brandon Valor Brodt | Pharmacist | 450 Sutter St., Suite 713, San Francisco, CA 94108 | 2009-03-13 |
| 1194983312 | L Todd Iverson | Dentist | 450 Sutter St #2005, San Francisco, CA 94108 | 2008-05-23 |
| Find all providers in zip 94108 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180331 | Siyouneh Novshadian | Dentist | 999 Sutter St # 11, San Francisco, CA 94109-6023 | 2019-12-09 |
| 1881189736 | Allan Yuanshan Wang | Dentist | 2480 Mission St Ste 323-324, San Francisco, CA 94110-2468 | 2018-06-24 |
| 1356842637 | Alice Goodwin | Dentist | 1825 4th St # 5b, San Francisco, CA 94143-2350 | 2018-02-22 |
| 1912456286 | Melissa Chin | Dentist | 2000 Van Ness Ave Ste 202, San Francisco, CA 94109-3021 | 2016-09-28 |
| 1144673450 | Stephan Suksong Yoon | Dentist | 1373 17th Ave, San Francisco, CA 94122-1912 | 2016-07-21 |
| 1508240953 | Suzanne Wen | Dentist | 1938 Donner Ave, San Francisco, CA 94124 | 2015-07-15 |
| 1598156788 | Van H Tran | Dentist | 690 33rd Ave, Apt #204, San Francisco, CA 94121-2760 | 2015-02-10 |
| 1548679319 | Matthew Cozin | Dentist | 1026 Noriega St, San Francisco, CA 94122-4514 | 2014-08-06 |
| 1912250176 | Kjeld Aamodt | Dentist | 999 Sutter Street, Suite 207, San Francisco, CA 94109 | 2012-10-24 |
| 1639429939 | Emerald Nguyen | Dentist | 707 Parnassus Ave # D-3030, San Francisco, CA 94143-2210 | 2012-09-13 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94108 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.