Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kellie Renee Bergendahl, RDH

Dental Hygienist in Plummer, ID · enumerated 2008 · practices at Benewah Medical Center.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053563619

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Registry record

Entity type Individual (Type 1)

Name Kellie Renee Bergendahl

Credential RDH

Sex Female

Practice address 427 12th St, Plummer, ID, 83851

Phone (208) 686-1931

Fax (208) 686-5133

Enumeration date Oct 15, 2008

Last updated in NPPES Sep 23, 2019

Taxonomy & licenses

124Q00000X Dental Hygienist Dental Providers · License DH2335 (ID) Primary

Other identifiers

Identifier	Type	State	Issuer
RDH 20164	Other	CA	STATE LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1053563619 active?

Yes, as of the latest NPPES snapshot, NPI 1053563619 is active (record last updated 2019-09-23).

How do I verify Kellie Bergendahl's NPI record?

Cross-check NPI 1053563619 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-09-23.