NPIMap

Organization Active NPI

Bold Dental Springdale

  • General Practice Dentistry
  • Springdale, AR
National Provider Identifier
1679952022
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3025 Issued in AR
Legal business name
BOLD DENTAL SPRINGDALE
Practice address
6815 Isaacs Orchard Rd
Suite a
Springdale, AR 72762-6324
Phone
(479) 750-0333
NPI assigned
May 19, 2015
Organization subpart
Yes
Parent organization
BOLD DENTAL PARTNERS, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Authorized official

Name
Scott Bolding
Title
Owner
Phone
(479) 521-2653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3025 AR Primary

Addresses

Primary practice location

6815 Isaacs Orchard Rd
Suite a
Springdale, AR 72762-6324

Mailing address

PO Box 1108
Fayetteville, AR 72702-1108
Phone (479) 439-9192

National Provider Directory

National Provider Directory
Tax ID family
Bold Dental Partners PLLC6 organizations share this tax ID, including this one
Part of
Bold Dental Partners PLLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1679952022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1108",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727021108",
            "telephone_number": "479-439-9192",
            "fax_number": "479-725-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 ISAACS ORCHARD RD",
            "address_2": "SUITE A",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626324",
            "telephone_number": "479-750-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLD DENTAL SPRINGDALE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOLD DENTAL PARTNERS, PLLC",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "BOLDING",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-521-2653"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.