Individual provider Active NPI

Richard Keith Bokemper, D.D.S.

  • General Practice Dentistry
  • Sergeant Bluff, IA
National Provider Identifier
1427024801
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7009 Issued in IA
Practice address
703 First St.
Sergeant Bluff, IA 51054-0280
Phone
(712) 943-4242
Fax
(712) 943-4243
NPI assigned
Feb 27, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7009 IA Primary

Addresses

Primary practice location

703 First St.
Sergeant Bluff, IA 51054-0280

Mailing address

PO Box 280
Sergeant Bluff, IA 51054-0280
Phone (712) 943-4242

Other identifiers 1

IdentifierTypeStateIssuer
217992MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160203002654 IA Order and Referring Only - DentistPractitioner - Dentist 8426352956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7009IAMDGeneral Practice Dentistry

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1427024801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "SERGEANT BLUFF",
            "state": "IA",
            "postal_code": "510540280",
            "telephone_number": "712-943-4242",
            "fax_number": "712-943-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 FIRST ST.",
            "city": "SERGEANT BLUFF",
            "state": "IA",
            "postal_code": "510540280",
            "telephone_number": "712-943-4242",
            "fax_number": "712-943-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOKEMPER",
        "first_name": "RICHARD",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217992",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sergeant Bluff, IA

Sources for this page

Verify at the official NPI Registry.