NPI age
17 years
Enumerated 2008-10-15
● Active
Type 1 · Individual
Kellie Renee Bergendahl, RDH
Bergendahl is 1 of 5 dental hygienist providers in Plummer and 1 of 54 in Idaho.
Primary specialty
Dental Hygienist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-09-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 54 active dental hygienist providers in Idaho.
NPI age
17 years
↑ 9 yr above median (7 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-10Enumerated in NPPES
2008
2026
Where they practice
Practice location
427 12th St
Plummer, ID 838514000
Mailing address
Po Box 994
Coeur D Alene, ID 838160994
Specialties
-
Dental Hygienist PrimaryAn individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. ...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (CA) | RDH 20164 | STATE LICENSE |
Practice context
Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.