Active NPI
Janel Boni
- Dental Hygienist
- Carthage, NY
National Provider Identifier
1356013189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 025483
- Practice address
- 3562 Van Brocklin Rd
Carthage, NY 13619-2304 - Phone
- (315) 755-8113
- NPI assigned
- Sep 30, 2021
- Last updated
- Sep 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025483 | Other | NY | NYS REGISTRATION |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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.