NPIMap

Organization Active NPI

J. Carey Bonham DMD, PL

Doing business as Bonham Dental Arts

  • General Practice Dentistry
  • Largo, FL
National Provider Identifier
1295172195
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17527 Issued in FL
Legal business name
J. CAREY BONHAM DMD, PL
Doing business as
Bonham Dental Arts
Practice address
12720 Ulmerton Rd
Largo, FL 33774-3601
Phone
(727) 581-1869
Fax
(727) 581-2087
NPI assigned
May 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Authorized official

Name
Dr. James Carey Bonham, DMDNPI 1154582617
Title
Owner
Phone
(727) 581-1869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN17527 FL Primary

Addresses

Primary practice location

12720 Ulmerton Rd
Largo, FL 33774-3601

Mailing address

12720 Ulmerton Rd
Largo, FL 33774-3601
Phone (727) 581-1869

Other names 1

  • Bonham Dental Arts Doing business as

National Provider Directory

National Provider Directory

Locations

12720 Ulmerton Rd
Largo, FL 33774
Phone (727) 581-1869

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1295172195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 ULMERTON RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743601",
            "telephone_number": "727-581-1869",
            "fax_number": "727-581-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 ULMERTON RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743601",
            "telephone_number": "727-581-1869",
            "fax_number": "727-581-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. CAREY BONHAM DMD, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-31",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "BONHAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CAREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-581-1869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonham Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.