Raymond Bonomo Periodontics

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

021449 Issued in OH

Legal business name

RAYMOND BONOMO PERIODONTICS

Practice address

424 Ray Norrish Dr
Cincinnati, OH 45246-1520

Phone

(513) 671-0222

Fax

(513) 671-0256

NPI assigned

Mar 13, 2012

Last updated

Mar 13, 2012By 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. Raymond Bonomo, D.M.DNPI 1588715726

Title

Owner

Phone

(513) 671-0222

Specialties & licenses 1

Addresses

Locations

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.

• Raymond Arthur Bonomo, D.M.D

  • Periodontics
  • Cincinnati, OH
  • NPI 1588715726
  Authorized official Same address or phone

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1144595901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 REMICK BLVD",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669168",
            "telephone_number": "937-886-9940",
            "fax_number": "937-886-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 RAY NORRISH DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452461520",
            "telephone_number": "513-671-0222",
            "fax_number": "513-671-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND BONOMO PERIODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "BONOMO",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-671-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "021449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany M Ray
• William Terry Ray, CRNA
• Angela Christina Rayburn, LPC
• Keshauna Rayford, RPT
• Raymond a Schultz MD, Inc
• Raymond H Hellmann III MD Inc
• Raymond L. Noschang
• Raymond M. Ringenbach M.D.
• Victoria Raymond
• Eric Antoine Raynal, M.D., M.ED.

• Periodontics in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Periodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.