Boone and Cocquyt LLC Dba Erskine Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009553 Issued in IN

Legal business name

BOONE AND COCQUYT LLC DBA ERSKINE FAMILY DENTISTRY

Practice address

734 E Ireland Rd
Erskine Family Dentistry
South Bend, IN 46614-2662

Phone

(574) 299-9300

Fax

(574) 299-9853

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Bridget K Clark

Title

Financial Manager

Phone

(574) 299-9300

Specialties & licenses 3

Addresses

Other names 1

• Erskine Family Dentistry Doing business as

Locations

Practitioners 3

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

• Bonni Maria Boone, D.D.S.

  • General Practice Dentistry
  • South Bend, IN
  • NPI 1871651026
  NPD (past)
• Susan Marie Cocquyt, DDS

  • Dentist
  • South Bend, IN
  • NPI 1619035896
  NPD (past)
• Lori F Risser, DR

  • Dentist
  • South Bend, IN
  • NPI 1437262847
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356469746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 E IRELAND RD",
            "address_2": "ERSKINE FAMILY DENTISTRY",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142662",
            "telephone_number": "574-299-9300",
            "fax_number": "574-299-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 E IRELAND RD",
            "address_2": "ERSKINE FAMILY DENTISTRY",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142662",
            "telephone_number": "574-299-9300",
            "fax_number": "574-299-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONE AND COCQUYT LLC DBA ERSKINE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "574-299-9300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009004",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009553",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010048",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erskine Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen A Bondi, LCSW
• Daitriona Bonds, RBT
• Bonita Smiles LLC
• Myron Glen Bontrager, DO
• Warren D Bontrager, M.D.
• Bonni Maria Boone, D.D.S.
• Chantel Boone
• Shirley Bootz, LDH
• Janice Marie Bopp, PHARMD
• Paula K Bopp, MSW

• General Practice Dentistry in South Bend, IN
• Providers in South Bend, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.