NPIMap

Organization Active NPI

John D Bond DDS Inc

  • Dentist
  • South Bend, IN
National Provider Identifier
1255448452
Registry record updated Jun 16, 2008
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12006577A Issued in IN
Legal business name
JOHN D BOND DDS INC
Practice address
915 S Ironwood
South Bend, IN 46615
Phone
(574) 288-5252
Fax
(574) 286-7270
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
John Bond, DDS
Title
Dentist
Phone
(574) 288-5252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12006577A IN Primary

Addresses

Primary practice location

915 S Ironwood
South Bend, IN 46615

Mailing address

915 S Ironwood
South Bend, IN 46615
Phone (574) 288-5252

Other identifiers 1

IdentifierTypeStateIssuer
100220530AMedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1255448452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 S IRONWOOD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46615",
            "telephone_number": "574-288-5252",
            "fax_number": "574-286-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 S IRONWOOD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46615",
            "telephone_number": "574-288-5252",
            "fax_number": "574-286-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D BOND DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "574-288-5252",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12006577A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100220530A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

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