Individual provider Active NPI

Allison Kathryn Bonsall

  • General Practice Dentistry
  • Monterey, CA
National Provider Identifier
1003565110
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
108850 Issued in CA
Practice address
2440 Fremont St Ste 211
Monterey, CA 93940-6850
Phone
(610) 416-9890
NPI assigned
Mar 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 108850 CA Primary

Addresses

Primary practice location

2440 Fremont St Ste 211
Monterey, CA 93940-6850

Mailing address

160 Monterey Ave Apt D
Pacific Grove, CA 93950-2862
Phone (610) 416-9890

Other practice location 1

17820 Moro Rd
Prunedale, CA 93907-8564
Phone (610) 416-9890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
108850CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1003565110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 MONTEREY AVE APT D",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502862",
            "telephone_number": "610-416-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 FREMONT ST STE 211",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406850",
            "telephone_number": "610-416-9890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17820 Moro Rd",
            "address_purpose": "LOCATION",
            "city": "Prunedale",
            "state": "CA",
            "postal_code": "939078564",
            "country_code": "US",
            "telephone_number": "610-416-9890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONSALL",
        "first_name": "ALLISON",
        "middle_name": "KATHRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.