NPIMap

Organization Active NPI

Junction City Family Dentistry, LLC

  • General Practice Dentistry
  • Junction City, KS
National Provider Identifier
1093737983
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5656 Issued in KS
Legal business name
JUNCTION CITY FAMILY DENTISTRY, LLC
Practice address
1038 W Ash St
Junction City, KS 66441-3462
Phone
(785) 762-4313
NPI assigned
Jul 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Kevin BongersNPI 1598736381
Title
President
Phone
(785) 762-4313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5656 KS Primary

Addresses

Primary practice location

1038 W Ash St
Junction City, KS 66441-3462

Mailing address

1038 W Ash St
Junction City, KS 66441-3462
Phone (785) 762-4313

National Provider Directory

National Provider Directory

Locations

1038 W Ash St
Junction City, KS 66441
Phone (785) 762-4313

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093737983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 W ASH ST",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664413462",
            "telephone_number": "785-762-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 W ASH ST",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664413462",
            "telephone_number": "785-762-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNCTION CITY FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BONGERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-762-4313",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "5656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Junction City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.