Individual provider Active NPI

Damon L Bond, DMD

  • Dentist
  • Alpharetta, GA
National Provider Identifier
1326267402
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
012301 Issued in GA
Practice address
4165 Old Milton Pkwy
Suite 190
Alpharetta, GA 30005-4468
Phone
(678) 624-0370
Fax
(678) 624-0319
NPI assigned
Apr 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 012301 GA Primary

Addresses

Primary practice location

4165 Old Milton Pkwy
Suite 190
Alpharetta, GA 30005-4468

Mailing address

4165 Old Milton Pkwy
Suite 190
Alpharetta, GA 30005-4468
Phone (678) 624-0370

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

State licenses

LicenseStateTypeSpecialty
012301GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodstock Smiles, PC Current Accepting new patients
Old Milton Dental Dentist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326267402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 OLD MILTON PKWY",
            "address_2": "SUITE 190",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054468",
            "telephone_number": "678-624-0370",
            "fax_number": "678-624-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 OLD MILTON PKWY",
            "address_2": "SUITE 190",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054468",
            "telephone_number": "678-624-0370",
            "fax_number": "678-624-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "DAMON",
        "middle_name": "L",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "012301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.