Organization Active NPI

Daniel M Bonine DDS PLLC

  • Dentist
  • Kalamazoo, MI
National Provider Identifier
1104566793
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DANIEL M BONINE DDS PLLC
Practice address
200 Turwill LN
Kalamazoo, MI 49006-4277
Phone
(269) 381-4435
Fax
(269) 488-4831
NPI assigned
Mar 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Dr. Daniel Bonine, DDSNPI 1467660555
Title
President
Phone
(269) 381-4435

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

200 Turwill LN
Kalamazoo, MI 49006-4277

Mailing address

200 Turwill LN
Kalamazoo, MI 49006-4277
Phone (269) 381-4435

Other identifiers 1

IdentifierTypeStateIssuer
1114595212OtherMICHRISTINE UGGERI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1104566793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TURWILL LN",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490064277",
            "telephone_number": "269-381-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TURWILL LN",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490064277",
            "telephone_number": "269-381-4435",
            "fax_number": "269-488-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL M BONINE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "BONINE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-381-4435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHRISTINE UGGERI",
            "identifier": "1114595212",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.