Derik Grant Bendixsen, DDS
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Offutt Afb, NE
NPI 1316308596 · NPPES record last updated Jul 6, 2026
Key facts
- NPI
- 1316308596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- DEN.00202908 (CO)
- Practice address
- 2501 Capehart Rd
Offutt Afb, NE 68113-1043 - Phone
- (402) 232-2273
- NPI assigned
- Mar 15, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00202908 | CO | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DEN.00202908 | CO | Yes |
| 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
Other providers in Offutt Afb, NE
- Trevin Micheal Ball
- Shelrethia O'Shay Battle-Siatita
- Jacqueline Annette Baude
- Elizabeth Ann Beal
- Francis Eugene Becker
- Catherine Fern Bensken
- John Michael Black
- Lynn Bojanski
- Andreanna Elizabeth Bowers
- Michelle Marie Bray
All providers in Offutt Afb, NE · Orthodontics and Dentofacial Orthopedics Dentistry in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.