Carrie K Borchardt, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08115 Issued in IA

Practice address

3430 Dodge St
Dubuque, IA 52003-5218

Phone

(563) 556-8388

NPI assigned

Nov 22, 2006

Last updated

Apr 4, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Applewhite Dental Iowa PC

  dba Manchester Dental

  • General Practice Dentistry
  • Manchester, IA
  • NPI 1225698046
  NPD (past)
• Manchester Dental DC

  • Dentist
  • Manchester, IA
  • NPI 1932285830
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1447325626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E MAIN ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520571838",
            "telephone_number": "563-927-5415",
            "fax_number": "563-927-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 DODGE ST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520035218",
            "telephone_number": "563-556-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORCHARDT",
        "first_name": "CARRIE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0449611",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kebba Bojang, PHARM. D
• Brooke Bojar
• Daniel L. Bolgren, D.D.S
• Rebekah Sue Bond, M.D.
• Bethann Bonner, M.D.
• Tricia Sullivan Borelli, LMHC
• Allison Bormann
• Abigail N. Bottorff, TLMHC, MA COUNSELING
• Richelle C Bouska, MHC
• Madison Faye Bowers

• General Practice Dentistry in Dubuque, IA
• Providers in Dubuque, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.