Booneville Family Dental, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

3525 Issued in AR

Legal business name

BOONEVILLE FAMILY DENTAL, PLLC

Practice address

1057 W Main St
Booneville, AR 72927-3403

Phone

(479) 719-1373

NPI assigned

Feb 8, 2017

Last updated

Feb 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Wesley Borengasser, D.D.S.

Title

Owner

Phone

(479) 719-1373

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1376081588",
    "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": "1057 W MAIN ST",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729273403",
            "telephone_number": "479-719-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONEVILLE FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "BORENGASSER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-719-1373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "3525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Booneville Chiropractic, Inc
• Booneville Community Hospital
• Booneville Community Hospital, Inc
• Booneville Community Hospital, Inc.
• Booneville Family Clinic
• Robert Benjamin Bowman, DO
• Bobby Bullington
• Natalie Chappell
• Tara E. Childers, APRN FNP-C
• Anthony Vincent Ciaramitaro, APRN

• Dentist in Booneville, AR
• Providers in Booneville, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.