Sarah Sohyun Bong-Thakur, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

00203802 Issued in CO

Practice address

1005 W 120TH Ave Ste 800
Westminster, CO 80234-2747

Phone

(720) 263-5420

NPI assigned

Apr 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Sarah Sohyun Bong Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1376767475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W 120TH AVE STE 800",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342747",
            "telephone_number": "720-263-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W 120TH AVE STE 800",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342747",
            "telephone_number": "720-263-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONG-THAKUR",
        "first_name": "SARAH",
        "middle_name": "SOHYUN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401411892",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "00203802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BONG",
            "middle_name": "SOHYUN",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Helen Bolyard
• Joshua Ross Bond, BCBA
• Rosalie Bondi, DO
• Bone Center of the Rockies
• Britta Bone, FNP
• Julie Katherine Bonnell, MA, LAC, LPC
• Trina Bonnet, FNP-C
• Carl John Bonnett, M.D.
• Danielle Lorraine Bono
• Faith E Bonsall

• Oral and Maxillofacial Surgery (Dentist) in Westminster, CO
• Providers in Westminster, CO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.