Bonatidudley PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BONATIDUDLEY PLLC

Practice address

4855 Ward Rd Ste 700
Wheat Ridge, CO 80033-1953

Phone

(303) 422-8748

NPI assigned

Apr 18, 2023

Organization subpart

Yes

Parent organization

PDS-BONATI LLCAs reported in NPPES

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

Authorized official

Name

Megan Giggey

Title

Cdo

Phone

(303) 875-8896

Specialties & licenses 1

Addresses

Other names 1

• Branin Center for Dentistry Wheat Ridge Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theodore Coatany Johnson, DMD

  • Dentist
  • Wheat Ridge, CO
  • NPI 1972661494
  NPD (past)

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1083301402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SUPERIOR DR STE 275",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800278657",
            "telephone_number": "303-875-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 WARD RD STE 700",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800331953",
            "telephone_number": "303-422-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONATIDUDLEY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PDS-BONATI LLC",
        "enumeration_date": "2023-04-18",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "GIGGEY",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "CDO",
        "authorized_official_telephone_number": "303-875-8896"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Branin Center for Dentistry Wheat Ridge",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Branin Center for Dentistry Wheat Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katya Bograd, MD
• Pamela Bohling, PT, OCS
• James Francis Boland III, PT, DPT
• Sarah Bomers, RDN
• Marina Bommarito
• Barbara Anne Bond, LPC
• Kelly L Bondurant, LCSW
• Bruce Bonich
• Heidi Kathleen Bonilla, LPCC
• Jennifer Boone

• Dental Clinic/Center in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.