NPIMap

Organization Active NPI

Bondurant Dental Center

Doing business as Bondurant Family Dentistry

  • Dental Clinic/Center
  • Bondurant, IA
National Provider Identifier
1164920286
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BONDURANT DENTAL CENTER
Doing business as
Bondurant Family Dentistry
Practice address
108 Main St NE
Bondurant, IA 50035-7722
Phone
(515) 967-4002
NPI assigned
Jan 23, 2018
Last updated
Jan 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Authorized official

Name
Steven Neville, DDSNPI 1053691378
Title
DDS/Business Owner
Phone
(515) 967-4002

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

108 Main St NE
Bondurant, IA 50035-7722

Mailing address

108 Main St NE
Bondurant, IA 50035-7722
Phone (515) 967-4002

Other names 1

  • Bondurant Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

108 Main St NE
Bondurant, IA 50035
Phone (515) 321-7368

Practitioners & affiliated clinicians

Practitioners 6

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": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1164920286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MAIN ST NE",
            "city": "BONDURANT",
            "state": "IA",
            "postal_code": "500357722",
            "telephone_number": "515-967-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MAIN ST NE",
            "city": "BONDURANT",
            "state": "IA",
            "postal_code": "500357722",
            "telephone_number": "515-967-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONDURANT DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "NEVILLE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "DDS/BUSINESS OWNER",
        "authorized_official_telephone_number": "515-967-4002",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bondurant Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bondurant, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.