Joseph Louis Bonina, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MA1343 Issued in MA

Practice address

403 Route 28
West Yarmouth, MA 02673-4719

Phone

(508) 790-4100

Fax

(508) 790-4111

NPI assigned

Mar 24, 2006

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

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023078060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 ROUTE 28",
            "city": "WEST YARMOUTH",
            "state": "MA",
            "postal_code": "026734719",
            "telephone_number": "508-790-4100",
            "fax_number": "508-790-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 ROUTE 28",
            "city": "WEST YARMOUTH",
            "state": "MA",
            "postal_code": "026734719",
            "telephone_number": "508-790-4100",
            "fax_number": "508-790-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONINA",
        "first_name": "JOSEPH",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "MA1343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA GROUP #",
            "identifier": "Y39483",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA INDIV.#",
            "identifier": "Y35965",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "35271",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH PLAN",
            "identifier": "596100",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "001343",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith Bell
• Peter Edward Bentivegna, M.D.
• Hudson Kieltyka Bielecki
• BK Primary Care PLLC
• Kara Helena Blake, M.S.S.W
• Laurie Catherine Bronski, RN
• Nicole Brow, PHARMD
• Douglas Adams Bryans, DDS
• Mary Elizabeth Butler Minor, MED IN COUNSELING
• Magali Geoconda Calle

• All providers in West Yarmouth, MA
• Chiropractor in Massachusetts

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.