Individual provider Active NPI

Bonita Davis Neighbors, D.D.S.

  • Public Health Dentistry
  • Saline, MI
National Provider Identifier
1225332364
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
2901014555 Issued in MI
Practice address
9034 McKendry Dr
Saline, MI 48176-8010
Phone
(734) 995-8347
NPI assigned
Jan 4, 2011
Last updated
Jan 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 2901014555 MI Primary

Addresses

Primary practice location

9034 McKendry Dr
Saline, MI 48176-8010

Mailing address

9034 McKendry Dr
Saline, MI 48176-8010
Phone (734) 995-8347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150623002317 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5597076158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901014555MIMDPublic Health Dentist

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1225332364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9034 MCKENDRY DR",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481768010",
            "telephone_number": "734-995-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9034 MCKENDRY DR",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481768010",
            "telephone_number": "734-995-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIGHBORS",
        "first_name": "BONITA",
        "middle_name": "DAVIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MI",
            "license": "2901014555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saline, MI

Sources for this page

Verify at the official NPI Registry.