Bill Bender D.D.S. P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

00773 Issued in CO

Legal business name

BILL BENDER D.D.S. P.C.

Practice address

202 N 2ND St
La Salle, CO 80645-3306

Phone

(970) 284-7930

Fax

(970) 284-6635

NPI assigned

May 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Bill Charles Bender, D.D.S. P.C.

Title

Dentist

Phone

(970) 284-7930

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1275945917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N 2ND ST",
            "city": "LA SALLE",
            "state": "CO",
            "postal_code": "806453306",
            "telephone_number": "970-284-7930",
            "fax_number": "970-284-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N 2ND ST",
            "city": "LA SALLE",
            "state": "CO",
            "postal_code": "806453306",
            "telephone_number": "970-284-7930",
            "fax_number": "970-284-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILL BENDER D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "970-284-7930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S. P.C."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04008587",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in La Salle, CO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.