NPIMap

Organization Active NPI

Richard K Bokemper DDS PC

  • Dentist
  • Sergeant Bluff, IA
National Provider Identifier
1871569459
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7009 Issued in IA
Legal business name
RICHARD K BOKEMPER DDS PC
Practice address
703 First St
Sergeant Bluff, IA 51054
Phone
(712) 943-4242
Fax
(712) 943-4243
NPI assigned
Feb 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard Keith Bokemper, DDSNPI 1427024801
Title
President Owner
Phone
(712) 943-4242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7009 IA Primary

Addresses

Primary practice location

703 First St
Sergeant Bluff, IA 51054

Mailing address

PO Box 280
703 First St
Sergeant Bluff, IA 51054
Phone (712) 943-4242

Other identifiers 2

IdentifierTypeStateIssuer
IA217992MedicaidIA
4212770114OtherNEMEDICAID NEBRASKA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871569459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "address_2": "703 FIRST ST",
            "city": "SERGEANT BLUFF",
            "state": "IA",
            "postal_code": "51054",
            "telephone_number": "712-943-4242",
            "fax_number": "712-943-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 FIRST ST",
            "city": "SERGEANT BLUFF",
            "state": "IA",
            "postal_code": "51054",
            "telephone_number": "712-943-4242",
            "fax_number": "712-943-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD K BOKEMPER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOKEMPER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "712-943-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "7009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "IA217992",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID NEBRASKA",
            "identifier": "4212770114",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sergeant Bluff, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.