Organization Active NPI

Patricia a Bonner DMD LLC

  • General Practice Dentistry
  • Northampton, MA
National Provider Identifier
1184914210
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17671 Issued in MA
Legal business name
PATRICIA A BONNER DMD LLC
Practice address
241 King St
Suite 220
Northampton, MA 01060-2335
Phone
(413) 586-4200
Fax
(413) 586-9316
NPI assigned
Apr 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Patricia A Bonner, DMD
Title
Dentist
Phone
(413) 586-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 17671 MA Primary

Addresses

Primary practice location

241 King St
Suite 220
Northampton, MA 01060-2335

Mailing address

241 King St
Suite 220
Northampton, MA 01060-2335
Phone (413) 586-4200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1184914210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 KING ST",
            "address_2": "SUITE 220",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602335",
            "telephone_number": "413-586-4200",
            "fax_number": "413-586-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 KING ST",
            "address_2": "SUITE 220",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602335",
            "telephone_number": "413-586-4200",
            "fax_number": "413-586-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA A BONNER DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "413-586-4200",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.