Eric Ardeen Bortnem, DMD, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

38697 Issued in TX

Practice address

809 SW Alsbury Blvd # 100
Burleson, TX 76028-9200

Phone

(817) 426-1406

NPI assigned

Apr 10, 2023

Reactivated

Apr 15, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 Authorized official
• Stephenville Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Stephenville, TX
  • NPI 1083583934
  NPD Authorized official

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1710672373",
    "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",
            "telephone_number": "605-999-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 SW ALSBURY BLVD # 100",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760289200",
            "telephone_number": "817-426-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTNEM",
        "first_name": "ERIC",
        "middle_name": "ARDEEN",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-10",
        "last_updated": "2026-04-15",
        "certification_date": "2023-04-10",
        "deactivation_date": "2025-11-18",
        "reactivation_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "38697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Bojan
• Ashley Bolden
• Boli and Son Express LLC
• Katelin Victoria Bolivar Vukovics, MA, LPC
• Vincent Boom, RN, PHD
• Benjamin Bowles, ATC, LAT
• Darrell Lynn Bowyer, M.D.,P.A.
• Justin Scott Bowyer, DNP CRNA
• Heather Renee Boyd
• Julie Henion Boyer, M.S., CCC-SLP

• Orthodontics and Dentofacial Orthopedics Dentistry in Burleson, TX
• Providers in Burleson, 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 15, 2026; 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.