Northeast Indiana Orthodontics, LLC
NPI 1982411088ActiveOrganization· Dentist, Orthodontics and Dentofacial Orthopedics· Fort Wayne, IN
Dentist, Orthodontics and Dentofacial Orthopedics in Fort Wayne, Indiana, registered in NPPES in December 2024. The authorized official on file is Allison Bergdoll, DDS, MS, President, Orthodontist.
Overview
| NPI | 1982411088 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 12, 2024 |
| Last updated in NPPES | Dec 12, 2024 |
| Certified by provider | Dec 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | — | — |
| Clinic/Center, Dental | 261QD0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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