Active NPI
Victor Bond, D.M.D
- Dentist
- Jacksonville, FL
National Provider Identifier
1396125571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9960
- Practice address
- 10504 Wellington Walk Dr
Jacksonville, FL 32256-9060 - Phone
- (904) 534-2661
- NPI assigned
- Jun 3, 2015
- Last updated
- Jun 3, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9960 | NC | Primary |
| Dentist | 122300000X | 19704 | FL |
Addresses
Primary practice location
10504 Wellington Walk Dr
Jacksonville, FL 32256-9060
Mailing address
10504 Wellington Walk Dr
Jacksonville, FL 32256-9060
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19704 | FL | MD | Dentist |
| 9960 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1396125571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10504 WELLINGTON WALK DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322569060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10504 WELLINGTON WALK DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322569060",
"telephone_number": "904-534-2661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOND",
"first_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-03",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "9960",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "19704",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.