NPIMap

Organization Active NPI

Taruna S Bolding DDS PA

  • General Practice Dentistry
  • Fayetteville, AR
National Provider Identifier
1457864100
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3062 Issued in AR
Legal business name
TARUNA S BOLDING DDS PA
Practice address
5229 Saint Andrews Dr
Fayetteville, AR 72704-6219
Phone
(479) 957-4612
NPI assigned
Nov 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Authorized official

Name
Dr. Taruna S Bolding, DDSNPI 1144348582
Title
Owner
Phone
(479) 957-4612

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3062 AR Primary

Addresses

Primary practice location

5229 Saint Andrews Dr
Fayetteville, AR 72704-6219

Mailing address

5229 Saint Andrews Dr
Fayetteville, AR 72704-6219
Phone (479) 957-4612

Other identifiers 2

IdentifierTypeStateIssuer
163704608MedicaidAR
3062OtherARAR DENTAL LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1457864100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5229 SAINT ANDREWS DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046219",
            "telephone_number": "479-957-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5229 SAINT ANDREWS DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046219",
            "telephone_number": "479-957-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARUNA S BOLDING DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "BOLDING",
        "authorized_official_first_name": "TARUNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-957-4612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163704608",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR DENTAL LICENSE",
            "identifier": "3062",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.