Dentistry 4 Kidz, P.a.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

14022 Issued in TX

Legal business name

DENTISTRY 4 KIDZ, P.A.

Practice address

#1 Eureka Circle #103
Wichita Falls, TX 76308

Phone

(940) 691-5027

Fax

(940) 691-5076

NPI assigned

Nov 1, 2006

Last updated

Jul 31, 2008By 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. Paul Steven Bonner, DDSNPI 1407010457

Title

Dentist/Owner

Phone

(940) 691-5027

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Paul Steven Bonner, DDS

  • Dentist
  • Wichita Falls, TX
  • NPI 1407010457
  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-2",
    "last_updated_epoch": "1217462400000",
    "number": "1023195427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#1 EUREKA CIRCLE #103",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "76308",
            "telephone_number": "940-691-5027",
            "fax_number": "940-691-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#1 EUREKA CIRCLE #103",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "76308",
            "telephone_number": "940-691-5027",
            "fax_number": "940-691-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY 4 KIDZ, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "940-691-5027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "14022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LISCENSE",
            "identifier": "14022",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Nicole Demblowski, CRNA
• Robert F. Demuro Jr., P.A.
• Danny Lee Dennis Jr., IDMT
• Dental Works
• Dental Works of Texas II
• Dept of Assistive & Rehab Serv - Wichita Falls Field Office
• Dermatology and Skin Cancer Center of Wichita Falls PLLC
• Katherine Deshazo, RN
• Lashell Deshong
• Andre Pothel Desire, MD

• Pediatric Dentistry in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.