Individual provider Active NPI

Luis Antonio Bonet Rodriguez

  • Dental Hygienist
  • Fort Sam Houston, TX
National Provider Identifier
1275332579
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Practice address
1811 Army Blvd BLDG 2018
Fort Sam Houston, TX 78234-2686
Phone
(346) 664-1922
NPI assigned
Mar 10, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X Primary

Addresses

Primary practice location

1811 Army Blvd BLDG 2018
Fort Sam Houston, TX 78234-2686

Mailing address

1811 Army Blvd BLDG 2018
Fort Sam Houston, TX 78234-2686
Phone (346) 664-1922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1275332579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 ARMY BLVD BLDG 2018",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782342686",
            "telephone_number": "346-664-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 ARMY BLVD BLDG 2018",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782342686",
            "telephone_number": "346-664-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONET RODRIGUEZ",
        "first_name": "LUIS",
        "middle_name": "ANTONIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sam Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.