Jason Todd Bolding, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3222 Issued in AR

Practice address

407 Llama Dr
Suite 101
Searcy, AR 72143-4786

Phone

(501) 279-7779

Fax

(501) 279-2047

NPI assigned

Nov 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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.

Opted out of Medicare

Yes, effective Mar 8, 2016 through Mar 8, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sleep Bold Arkansas LLC

  • Customized Equipment (DME)
  • Searcy, AR
  • NPI 1326602400
  NPD Authorized official
• Bold Smiles, PLLC

  • Dental Clinic/Center
  • Searcy, AR
  • NPI 1629571930
  Authorized official Same address or phone
• Jason T. Bolding DDS PC

  • General Practice Dentistry
  • Searcy, AR
  • NPI 1083969570
  Authorized official Same address or phone

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962589788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 LLAMA DR",
            "address_2": "SUITE 101",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434786",
            "telephone_number": "501-279-7779",
            "fax_number": "501-279-2047"
        },
        {
            "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",
            "fax_number": "501-279-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDING",
        "first_name": "JASON",
        "middle_name": "TODD",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William E Bohannon, MRC, AADC, CCS, CCDP
• Bold Dental Searcy
• Bold Smiles, PLLC
• Jordan Bolding Koch, PT
• Angela Bolding
• John Edward Bolding, LCSW
• Ronald Thomas Boling, QBHP
• April Boliou
• Katrina Elizabeth Bomar, OTR
• Kayla Jo Bond, APRN

• General Practice Dentistry in Searcy, AR
• Providers in Searcy, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.