Vincent Bonvino, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

NYS028876 Issued in NY

Practice address

12 Central PLZ
Ilion, NY 13357-1701

Phone

(315) 894-5330

Fax

(315) 894-7718

NPI assigned

Jun 10, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1144480476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CENTRAL PLZ",
            "city": "ILION",
            "state": "NY",
            "postal_code": "133571701",
            "telephone_number": "315-894-5330",
            "fax_number": "315-894-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CENTRAL PLZ",
            "city": "ILION",
            "state": "NY",
            "postal_code": "133571701",
            "telephone_number": "315-894-5330",
            "fax_number": "315-894-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONVINO",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "NYS028876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Richard Angiulli
• Kim Marie Bailey, L.P.N.
• Melissa Lynn Baker, LPN
• Catherine Louise Basi, R.N.
• Terry Tremblay Bassett, PT
• Susan Ellen Braren-Bach, OTR/L
• Katherine M. Brien, MS, CCC-SLP
• Angela Kristine Brown, RD, CDN
• Jeffrey William Buddenhagen II, LPN
• Samantha Burchell

• All providers in Ilion, NY
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.