Robert Keith Bundy, D.D.S,

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7082 Issued in NE

Practice address

155 N 24TH St
Ashland, NE 68003-1504

Phone

(402) 521-3560

NPI assigned

Jul 5, 2013

Last updated

Aug 3, 2015By the provider in NPPES

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

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bundy Family Dentistry

  • Dental Clinic/Center
  • Ashland, NE
  • NPI 1447945928
  NPD (past) Authorized official
• Bundy Family Dentistry LLC

  • Prosthetic/Orthotic Supplier
  • Ashland, NE
  • NPI 1184086597
  NPD (past) Authorized official

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1871933853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N 24TH ST",
            "city": "ASHLAND",
            "state": "NE",
            "postal_code": "680031504",
            "telephone_number": "402-521-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N 24TH ST",
            "city": "ASHLAND",
            "state": "NE",
            "postal_code": "680031504",
            "telephone_number": "402-521-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDY",
        "first_name": "ROBERT",
        "middle_name": "KEITH",
        "credential": "D.D.S,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-05",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Katherine Beranek, PHARMD
• Jacie Lorraine Bird
• Amanda Jean Boender, DDS
• Bundy Family Dentistry
• Bundy Family Dentistry LLC
• Jacqueline Kate Burkey, APRN
• Ashley Chvatal
• City of Ashland (Ashland Emergency Services)
• Robyn Renae Clevenger, RN
• Alysha Collins

• General Practice Dentistry in Ashland, NE
• Providers in Ashland, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.