James Wesley Borengasser, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

3525 Issued in AR

Practice address

3510 S 79TH St Ste 100
Fort Smith, AR 72903-6250

Phone

(479) 242-3340

NPI assigned

Aug 24, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. James Wesley Borengasser Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Borengasser Family Dental, PLLC

  • Dental Clinic/Center
  • Fort Smith, AR
  • NPI 1346756103
  NPD Authorized official
• Arkansas Dental Professionals Mongrain PA

  • General Practice Dentistry
  • Fort Smith, AR
  • NPI 1225179088
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073620043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 ROSEWOOD DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729037060",
            "telephone_number": "479-242-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 S 79TH ST STE 100",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036250",
            "telephone_number": "479-242-3340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2909 S 74th St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729035156",
            "country_code": "US",
            "telephone_number": "479-452-7454",
            "fax_number": "479-484-5908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORENGASSER",
        "first_name": "JAMES",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3525",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "3525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD-AR",
            "identifier": "5Y464",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "BORENGASSER",
            "middle_name": "WESLEY",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Constance Faye Bone, R.D., L.D., CNSD
• Scarlett Elizabeth Bone, APRN
• Linda Boos, MHPP
• Cindy Nicole Booth, MSN, FNP-C
• Borengasser Family Dental, PLLC
• Alexandria Boss
• Bost, Inc.
• Memory Boucher, MS, BA, ADC
• David Lynn Bourne, MS LPC
• Audra Bowen

• Dentist in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.