Active NPI
Paul Eugene Bonham, D.D.S., M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Kahului, HI
National Provider Identifier
1376710772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DT2304
- Practice address
- 140 Hoohana St
Suite 312
Kahului, HI 96732-2400 - Phone
- (808) 871-6576
- NPI assigned
- May 14, 2008
- Last updated
- May 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DT2304 | HI | Primary |
Addresses
Primary practice location
140 Hoohana St
Suite 312
Kahului, HI 96732-2400
Mailing address
140 Hoohana St
Suite 312
Kahului, HI 96732-2400
Phone (808) 871-6576
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT2304 | HI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1376710772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 HOOHANA ST",
"address_2": "SUITE 312",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967322400",
"telephone_number": "808-871-6576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 HOOHANA ST",
"address_2": "SUITE 312",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967322400",
"telephone_number": "808-871-6576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONHAM",
"first_name": "PAUL",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-14",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "HI",
"license": "DT2304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.