Bolen Family Dentistry P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D0926 Issued in SD

Legal business name

BOLEN FAMILY DENTISTRY P.C.

Doing business as

Family Dentistry of Sioux Falls

Practice address

3508 S Minnesota Ave Ste 108
Sioux Falls, SD 57105-6455

Phone

(605) 339-0219

NPI assigned

Feb 10, 2011

Last updated

Feb 10, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kari M Bolen, DDSNPI 1609002401

Title

Director/President

Phone

(605) 261-6488

Specialties & licenses 1

Addresses

Other names 1

• Family Dentistry of Sioux Falls Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kari Marie Bolen, D.D.S

  • General Practice Dentistry
  • Custer, SD
  • NPI 1609002401
  Authorized official Same address or phone

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1073819991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 S MINNESOTA AVE STE 108",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 S MINNESOTA AVE STE 108",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056455",
            "telephone_number": "605-339-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLEN FAMILY DENTISTRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "BOLEN",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "605-261-6488",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SD",
            "license": "D0926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry of Sioux Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bogen Corporation
• Alicia Bohrer, RN
• Kimberlee C Bohy, MD
• Luis Bolanos, DO
• Julie Catherine Bolding, RN
• Kelsey Bolkema, RBT
• Jessica Ann Boll, CNP
• Grant Boltjes, PT
• April Dawn Bolton, MA, LPC, NCC
• David Richard Bolton, D.D.S.

• Dental Clinic/Center in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Dental Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.