Michael T. Bodensteiner D.D. S. Inc.

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

MICHAEL T. BODENSTEINER D.D. S. INC.

Practice address

4148 S Demaree St
Visalia, CA 93277-9514

Phone

(559) 635-0900

NPI assigned

Oct 21, 2021

Last updated

Oct 21, 2021By 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

Kelli Welch

Title

Credentialing Specialist

Phone

(512) 925-0655

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Isaac R. Navarro, DMD

  • Dentist
  • Visalia, CA
  • NPI 1326203811
  NPD

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1841953361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4148 S DEMAREE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779514",
            "telephone_number": "559-635-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4148 S DEMAREE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779514",
            "telephone_number": "559-635-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL T. BODENSTEINER D.D. S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "512-925-0655"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DrB@bodensteiner.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "address_1": "4148 S Demaree St",
            "city": "Visalia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932779514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Briana Mezger
• Yilan Miao
• Michael D. Fiss Medical Corporation
• Michael E Flaherty DPM, Inc
• Michael S Barnett MD LTD
• Daniel J Middleton
• Erik Miguel, DO
• Jason Andrew Mihalcin, D.O.
• Ryan Milan
• Milestone Pediatrics Medical, P.C. (Milestone Pediatrics Medical, Inc.)

• Public Health Dentistry in Visalia, CA
• Providers in Visalia, CA by specialty
• Public Health Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.