NPIMap

Organization Active NPI

Bold Dental Searcy

  • General Practice Dentistry
  • Searcy, AR
National Provider Identifier
1942689112
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3025 Issued in AR
Legal business name
BOLD DENTAL SEARCY
Practice address
407 Llama Dr
Suite 101
Searcy, AR 72143-4786
Phone
(501) 279-7779
NPI assigned
May 21, 2015
Organization subpart
Yes
Parent organization
BOLD DENTAL PARTNERS, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Authorized official

Name
Scott Bolding
Title
Owner
Phone
(479) 521-2653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3025 AR Primary

Addresses

Primary practice location

407 Llama Dr
Suite 101
Searcy, AR 72143-4786

Mailing address

PO Box 1108
Fayetteville, AR 72702-1108
Phone (479) 439-9192

National Provider Directory

National Provider Directory
Tax ID family
Bold Dental Searcy6 organizations share this tax ID, including this one
Part of
Bold Dental Searcy

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1942689112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1108",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727021108",
            "telephone_number": "479-439-9192",
            "fax_number": "479-725-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 LLAMA DR",
            "address_2": "SUITE 101",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434786",
            "telephone_number": "501-279-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLD DENTAL SEARCY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOLD DENTAL PARTNERS, PLLC",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "BOLDING",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-521-2653"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.