Individual provider Active NPI

Derik Grant Bendixsen, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Offutt AFB, NE
National Provider Identifier
1316308596
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DEN.00202908 Issued in CO
Practice address
2501 Capehart Rd
Offutt AFB, NE 68113-1043
Phone
(402) 232-2273
NPI assigned
Mar 15, 2016
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DEN.00202908COMDGeneral 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.

Verify at the official NPI Registry.