Bortnem Orthodontics PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

BORTNEM ORTHODONTICS PLLC

Practice address

9005 Vista Way
Benbrook, TX 76126-2450

Phone

(682) 900-9500

NPI assigned

Sep 27, 2024

Last updated

Sep 27, 2024By 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

Dr. Eric Bortnem, DMD, MSNPI 1710672373

Title

Owner, Orthodontist

Phone

(605) 999-1619

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Eric Ardeen Bortnem, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Burleson, TX
  • NPI 1710672373
  NPD Authorized official
• Lena Bortnem, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Arlington, TX
  • NPI 1700307097
  NPD

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1992523146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9005 VISTA WAY",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761262450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9005 VISTA WAY",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761262450",
            "telephone_number": "682-900-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORTNEM ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "BORTNEM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER, ORTHODONTIST",
        "authorized_official_telephone_number": "605-999-1619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Alese Beyrooty, DPT
• Dustin Lee Blevins
• Bob Lanier MD PA
• Grace Morgan Booth, BCBA, LBA
• Tanya Borrego
• Elison Bowles, PA-C
• Stephanie Adrianne Bowman, MSN, APRN, PMHNP-BC
• Destin N Brannon, LPC
• Mark Richard Bronson, D.C.
• Marnita Brown

• Orthodontics and Dentofacial Orthopedics Dentistry in Benbrook, TX
• Providers in Benbrook, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.