Individual provider Active NPI

Janel Boni

  • Dental Hygienist
  • Carthage, NY
National Provider Identifier
1356013189
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
025483 Issued in NY
Practice address
3562 Van Brocklin Rd
Carthage, NY 13619-2304
Phone
(315) 755-8113
NPI assigned
Sep 30, 2021
Last updated
Sep 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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 025483 NY Primary

Addresses

Primary practice location

3562 Van Brocklin Rd
Carthage, NY 13619-2304

Mailing address

3562 Van Brocklin Rd
Carthage, NY 13619-2304
Phone (315) 755-8113

Other identifiers 1

IdentifierTypeStateIssuer
025483OtherNYNYS REGISTRATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL janelboni01@gmail.com Direct

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": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1356013189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3562 VAN BROCKLIN RD",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136192304",
            "telephone_number": "315-755-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3562 VAN BROCKLIN RD",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136192304",
            "telephone_number": "315-755-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONI",
        "first_name": "JANEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "025483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS REGISTRATION",
            "identifier": "025483",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "janelboni01@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "3562 Van Brocklin Rd",
            "city": "Carthage",
            "state": "NY",
            "country_code": "US",
            "postal_code": "136192304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carthage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.