Active NPI
Rachel Bohnen, DDS
- Pediatric Dentistry
- Flushing, NY
National Provider Identifier
1245643907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 058709-1
- Practice address
- 13514 Jewel Ave
Flushing, NY 11367-1920 - Phone
- (718) 997-6453
- NPI assigned
- Jun 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 058709-1 | NY | Primary |
Addresses
Primary practice location
13514 Jewel Ave
Flushing, NY 11367-1920
Mailing address
400 Central Park W
Apt 9E
New York, NY 10025-5880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161004000564 | NY | Order and Referring Only - Dentist | 8224326434 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058709-1 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helen Weinberg Ortho Group DDS PLLC | Past | Accepting new patients | |
| Laser Dentistry for Children LLC | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Catskill, NY
- NPI 1194095844
-
- Pediatric Dentistry
- Flushing, NY
- NPI 1871604371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475625600000",
"number": "1245643907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 CENTRAL PARK W",
"address_2": "APT 9E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100255880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13514 JEWEL AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113671920",
"telephone_number": "718-997-6453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHNEN",
"first_name": "RACHEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-10",
"last_updated": "2016-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "058709-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.