NPIMap

Organization Active NPI

Borengasser Family Dental, PLLC

  • Dental Clinic/Center
  • Fort Smith, AR
National Provider Identifier
1346756103
Registry record updated Dec 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3525 Issued in AR
Legal business name
BORENGASSER FAMILY DENTAL, PLLC
Practice address
3510 S 79TH St Ste 100
Fort Smith, AR 72903-6250
Phone
(479) 242-3340
NPI assigned
Dec 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2017

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

Authorized official

Name
Dr. James Wesley Borengasser, DDSNPI 1073620043
Title
Dentist
Phone
(479) 242-3340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3525 AR Primary

Addresses

Primary practice location

3510 S 79TH St Ste 100
Fort Smith, AR 72903-6250

Mailing address

9205 Rosewood Dr
Fort Smith, AR 72903-7060
Phone (479) 719-1373

National Provider Directory

National Provider Directory

Locations

3510 S 79th St
#100
Fort Smith, AR 72903
Phone (479) 242-3340

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1346756103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 ROSEWOOD DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729037060",
            "telephone_number": "479-719-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 S 79TH ST STE 100",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036250",
            "telephone_number": "479-242-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORENGASSER FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "BORENGASSER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "479-242-3340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "3525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.