Lena Bortnem, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DDS104227 Issued in CA

Practice address

2200 W Interstate 20 Ste 100
Arlington, TX 76017

Phone

(817) 803-8090

NPI assigned

Jun 28, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bortnem Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Benbrook, TX
  • NPI 1992523146
  NPD
• Ghazal Rodgers Buehler Dental Corporation

  dba Pleasant Grove Dental Group

  • General Practice Dentistry
  • Roseville, CA
  • NPI 1235224007
  NPD (past)

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1700307097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 ECHO POINT DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W INTERSTATE 20 STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76017",
            "telephone_number": "817-803-8090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2564 Raleigh Way",
            "address_purpose": "LOCATION",
            "city": "El Dorado Hills",
            "state": "CA",
            "postal_code": "957626973",
            "country_code": "US",
            "telephone_number": "916-995-7443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10357 Fairway Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956783544",
            "country_code": "US",
            "telephone_number": "916-782-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORTNEM",
        "first_name": "LENA",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "38317",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "DDS104227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "buckendl@ohsu.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "2730 SW Moody Ave",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972015042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carol W. Booth, CHIROPRACTOR
• William C. Booth, D.C.
• Michael C Boothe, M.D.
• Johne Booty, ATC
• Meagan Bordelon
• Michelle Borunda
• Jennifer Vallely Bosco, SLPA
• Catrena Y Boswell, LCSW
• Rodney Jerome Boswell, CSFA
• Jacqueline Botts, D.C.

• Orthodontics and Dentofacial Orthopedics Dentistry in Arlington, TX
• Providers in Arlington, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.