Organization Active NPI

Donald H. Bohne, DDS, PA

  • Dental Clinic/Center
  • Tucker, GA
National Provider Identifier
1033715081
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DONALD H. BOHNE, DDS, PA
Doing business as
Donald H. Bohne, DDS, PA
Practice address
4958 Lavista Rd
Tucker, GA 30084-4403
Phone
(770) 939-6600
Fax
(770) 939-1287
NPI assigned
Dec 7, 2020
Last updated
Dec 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Authorized official

Name
Dr. Donald H Bohne, DDSNPI 1629125869
Title
Owner
Phone
(770) 939-6600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

4958 Lavista Rd
Tucker, GA 30084-4403

Mailing address

4958 Lavista Rd
Tucker, GA 30084-4403
Phone (770) 939-6600

Other identifiers 1

IdentifierTypeStateIssuer
1629125869OtherGANPPES

Other names 1

  • Donald H. Bohne, DDS, PA Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL donaldbohnedds@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

4958 Lavista Rd
Tucker, GA 30084
Phone (770) 493-8500

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1033715081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4958 LAVISTA RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844403",
            "telephone_number": "770-939-6600",
            "fax_number": "770-939-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4958 LAVISTA RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844403",
            "telephone_number": "770-939-6600",
            "fax_number": "770-939-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD H. BOHNE, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "BOHNE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-939-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1629125869",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "donaldbohnedds@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4958 Lavista Rd",
            "city": "Tucker",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300844403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Donald H. Bohne, DDS, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.