Active NPI
Derik Grant Bendixsen, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Offutt AFB, NE
National Provider Identifier
1316308596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DEN.00202908
- Practice address
- 2501 Capehart Rd
Offutt AFB, NE 68113-1043 - Phone
- (402) 232-2273
- NPI assigned
- Mar 15, 2016
- Last updated
- Jul 6, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DEN.00202908 | CO | Primary |
| General Practice Dentistry | 1223G0001X | DEN.00202908 | CO |
Addresses
Primary practice location
2501 Capehart Rd
Offutt AFB, NE 68113-1043
Mailing address
2501 Capehart Rd
Offutt AFB, NE 68113-1043
Other practice location 1
86th Medical Group
Unit 3215
Apo, AE 09094-3215
Phone (303) 732-3697
Other practice location 2
18th Medical Group
Unit 5142
Apo, AP 96368
Phone (575) 725-0164
Other practice location 3
Unit 5142
Apo, AP 96368-5142
Phone (575) 725-0164
Other practice location 4
5558 Perth Ct
Denver, CO 80249-8410
Phone (575) 725-0164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00202908 | CO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1316308596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 CAPEHART RD",
"city": "OFFUTT AFB",
"state": "NE",
"postal_code": "681131043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 CAPEHART RD",
"city": "OFFUTT AFB",
"state": "NE",
"postal_code": "681131043",
"telephone_number": "402-232-2273"
}
],
"practiceLocations": [
{
"address_1": "86th Medical Group",
"address_2": "Unit 3215",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AE",
"postal_code": "090943215",
"country_code": "US",
"telephone_number": "303-732-3697",
"country_name": "United States",
"address_type": "MIL"
},
{
"address_1": "18th Medical Group",
"address_2": "Unit 5142",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AP",
"postal_code": "96368",
"country_code": "US",
"telephone_number": "575-725-0164",
"country_name": "United States",
"address_type": "MIL"
},
{
"address_1": "Unit 5142",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AP",
"postal_code": "963685142",
"country_code": "US",
"telephone_number": "575-725-0164",
"country_name": "United States",
"address_type": "MIL"
},
{
"address_1": "5558 Perth Ct",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802498410",
"country_code": "US",
"telephone_number": "575-725-0164",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENDIXSEN",
"first_name": "DERIK",
"middle_name": "GRANT",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-15",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CO",
"license": "DEN.00202908",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "DEN.00202908",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Offutt AFB, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.