Organization Active NPI

L.a. Bebensee DO PC

  • Surgery Physician
  • Van Buren, AR
National Provider Identifier
1194759381
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E4053 Issued in AR
Legal business name
L.A. BEBENSEE DO PC
Practice address
2020 Chestnut St
Suite 108
Van Buren, AR 72956-5321
Phone
(479) 471-4445
Fax
(479) 471-2026
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Dr. Lonette Ann Bebensee, DONPI 1407801731
Title
Ceo
Phone
(479) 471-4445

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X E4053 AR Primary

Addresses

Primary practice location

2020 Chestnut St
Suite 108
Van Buren, AR 72956-5321

Mailing address

2020 Chestnut St
Suite 108
Van Buren, AR 72956-5321
Phone (479) 471-4445

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1194759381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 CHESTNUT ST",
            "address_2": "SUITE 108",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565321",
            "telephone_number": "479-471-4445",
            "fax_number": "479-471-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CHESTNUT ST",
            "address_2": "SUITE 108",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565321",
            "telephone_number": "479-471-4445",
            "fax_number": "479-471-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.A. BEBENSEE DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "BEBENSEE",
        "authorized_official_first_name": "LONETTE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "479-471-4445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AR",
            "license": "E4053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.