Organization Active NPI

Bonner Endodontic Center

  • Endodontics
  • Corpus Christi, TX
National Provider Identifier
1194934778
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
19302 Issued in TX
Legal business name
BONNER ENDODONTIC CENTER
Practice address
5756 S Staples St
A-2
Corpus Christi, TX 78413-3782
Phone
(361) 993-3199
Fax
(361) 993-2712
NPI assigned
May 21, 2007
Last updated
Aug 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Dr. Frank Edmund Bonner Jr., DDSNPI 1407246960
Title
President
Phone
(361) 993-3100

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 19302 TX Primary

Addresses

Primary practice location

5756 S Staples St
A-2
Corpus Christi, TX 78413-3782

Mailing address

5756 S Staples St
A-2
Corpus Christi, TX 78413-3782
Phone (361) 993-3199

National Provider Directory

National Provider Directory

Locations

5756 S Staples St
Ste A2
Corpus Christi, TX 78413
Phone (361) 993-3100

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1194934778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5756 S STAPLES ST",
            "address_2": "A-2",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133782",
            "telephone_number": "361-993-3199",
            "fax_number": "361-993-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5756 S STAPLES ST",
            "address_2": "A-2",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133782",
            "telephone_number": "361-993-3199",
            "fax_number": "361-993-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNER ENDODONTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "EDMUND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-993-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "19302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.