Active NPI
Allison Kathryn Bonsall
- General Practice Dentistry
- Monterey, CA
National Provider Identifier
1003565110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 108850
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 108850 | CA | MD | General 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.