BP Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BP DENTAL

Practice address

1646 N Alpine Rd
Rockford, IL 61107-1436

Phone

(815) 397-3820

NPI assigned

May 25, 2016

Last updated

Dec 20, 2023By 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. Jeffrey Burch, D.D.S

Title

Owner

Phone

(815) 397-3820

Specialties & licenses 1

Addresses

Locations

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.

• Tina Brenza, D.D.S.

  • General Practice Dentistry
  • Goleta, CA
  • NPI 1124190699
  NPD (past)

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1558719161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 N ALPINE RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611071436",
            "telephone_number": "815-397-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 N ALPINE RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611071436",
            "telephone_number": "815-397-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BP DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-397-3820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald E Boyd, M.D.
• Jeffrey Boyd, AGPCNP
• Jennifer Anne Boyd
• Carli Boyer
• Allison M Bozovsky, LMFT
• Jamie Lynn Brackemyer, M.S., CCC-SLP
• Lindsay Ann Brackney, MD
• Braden Partners LP (Pacific Pulmonary Services)
• Darla Jo Bradle, APN, CNS-BC
• Sasha Kate Bradle, PHARMD

• Dentist in Rockford, IL
• Providers in Rockford, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.