Organization Active NPI

Bundy Family Dentistry LLC

  • Prosthetic/Orthotic Supplier
  • Ashland, NE
National Provider Identifier
1184086597
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
7082 Issued in NE
Legal business name
BUNDY FAMILY DENTISTRY LLC
Practice address
155 N 24TH St
Ashland, NE 68003-1504
Phone
(402) 521-3560
NPI assigned
Mar 24, 2016
Last updated
Mar 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Authorized official

Name
Dr. Robert Keith Bundy, D.D.SNPI 1871933853
Title
Owner/ Dentist
Phone
(402) 521-3560

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
Prosthetic/Orthotic Supplier 335E00000X 7082 NE Primary

Addresses

Primary practice location

155 N 24TH St
Ashland, NE 68003-1504

Mailing address

155 N 24TH St
Ashland, NE 68003-1504
Phone (402) 521-3560

National Provider Directory

National Provider Directory

Locations

155 N 24th St
Ashland, NE 68003
Phone (402) 521-3560

Practitioners & affiliated clinicians

Practitioners 2

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": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1184086597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N 24TH ST",
            "city": "ASHLAND",
            "state": "NE",
            "postal_code": "680031504",
            "telephone_number": "402-521-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N 24TH ST",
            "city": "ASHLAND",
            "state": "NE",
            "postal_code": "680031504",
            "telephone_number": "402-521-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNDY FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "BUNDY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "402-521-3560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NE",
            "license": "7082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.