Amanda Jean Boender, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7728 Issued in NE

Practice address

155 N 24TH St
Ashland, NE 68003-1504

Phone

(402) 521-3560

NPI assigned

Jun 14, 2021

Last updated

Jun 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Bundy Family Dentistry

  • Dental Clinic/Center
  • Ashland, NE
  • NPI 1447945928
  NPD
• Bundy Family Dentistry LLC

  • Prosthetic/Orthotic Supplier
  • Ashland, NE
  • NPI 1184086597
  NPD (past)
• Koentjoro Dentistry South Pointe LLC

  • General Practice Dentistry
  • Lincoln, NE
  • NPI 1396313011

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1427626647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N 24TH ST",
            "city": "ASHLAND",
            "state": "NE",
            "postal_code": "680031504",
            "telephone_number": "402-521-3560",
            "fax_number": "402-671-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N 24TH ST",
            "city": "ASHLAND",
            "state": "NE",
            "postal_code": "680031504",
            "telephone_number": "402-521-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOENDER",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "7728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bundy@securepracticemail.com",
            "affiliation": "Y",
            "endpointDescription": "Dental",
            "affiliationName": "Bundy Family Dentistry",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "155 N 24th St",
            "city": "Ashland",
            "state": "NE",
            "country_code": "US",
            "postal_code": "680031504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brady Auxier
• Michelle Lynn Bargen, D.D.S.
• Tonya Sue Bauer
• Joy Katherine Beranek, PHARMD
• Jacie Lorraine Bird
• Bundy Family Dentistry
• Bundy Family Dentistry LLC
• Robert Keith Bundy, D.D.S,
• Ashley Chvatal
• City of Ashland (Ashland Emergency Services)

• Dentist in Ashland, NE
• Providers in Ashland, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.