Richard H Bond, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1465 Issued in SC

Practice address

901 16TH Ave
Conway, SC 29526-3013

Phone

(843) 248-9033

Fax

(843) 381-0210

NPI assigned

Nov 19, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Wellness Center LLC

  • Dental Clinic/Center
  • Conway, SC
  • NPI 1760214241
  NPD Authorized official

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

{
    "created_epoch": "1132358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1215919626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 16TH AVE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263013",
            "telephone_number": "843-248-9033",
            "fax_number": "843-381-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 16TH AVE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263013",
            "telephone_number": "843-248-9033",
            "fax_number": "843-381-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "RICHARD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-19",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "1465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9895",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Blewitt, MSW
• Donivol Tarrell Blue, D.C.
• Bluebird Healthcare, Inc.
• Russell Allen Boatwright Sr., D.M.D.
• Elizabeth S Boggs-Newbigging, MSW
• Peter C Bondy, M.D.
• Michelle Jean Boudreau, COTA
• Elizabeth A Bourbeau
• Jennifer Bowers
• Churchill Grey Bracken

• General Practice Dentistry in Conway, SC
• Providers in Conway, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.