Bylsma-Mulder Family Dentistry, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

7596 Issued in IA

Legal business name

BYLSMA-MULDER FAMILY DENTISTRY, P.C.

Practice address

159 S Main Ave
Sioux Center, IA 51250-1535

Phone

(712) 722-2633

NPI assigned

Jan 10, 2017

Organization subpart

No

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

Authorized official

Name

Fonda Hulstein

Title

Office Manager

Phone

(712) 722-2633

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1316483647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 S MAIN AVE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501535",
            "telephone_number": "712-722-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 S MAIN AVE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501535",
            "telephone_number": "712-722-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYLSMA-MULDER FAMILY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "HULSTEIN",
        "authorized_official_first_name": "FONDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "712-722-2633"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "7596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0091488",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeff Boltjes, RPH
• Kendra Marie Borchers, PHARMD
• Lindsey Jo Borkowski, LISW
• Hailey Bradfield, PHARMD
• Hannah Buteyn, LMSW
• Leanne C. Bylsma-Mulder, D.D.S.
• Sarah E. Cam, ARNP
• Joselynn Castillo, DDS
• Children'S Dental Centre, PC
• City of Sioux Center - City Treasurer

• Dental Clinic/Center in Sioux Center, IA
• Providers in Sioux Center, IA by specialty
• Dental Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.