John Urban Bond, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

16129 Issued in TX

Practice address

120 S Denton Tap Rd
Suite 210
Coppell, TX 75019-3297

Phone

(469) 635-1105

Fax

(469) 635-1108

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1437369444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S DENTON TAP RD",
            "address_2": "SUITE 210",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193297",
            "telephone_number": "469-635-1105",
            "fax_number": "469-635-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S DENTON TAP RD",
            "address_2": "SUITE 210",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193297",
            "telephone_number": "469-635-1105",
            "fax_number": "469-635-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "JOHN",
        "middle_name": "URBAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "16129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED/CONCORDIA",
            "identifier": "1905661",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211977801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211977802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1528278132",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211977805",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lavanya Boddu, MD
• Michael James Bologna, D.C.
• Rhonda G Bond, PA
• Kathleen Susan Bonilla, RDH
• Nicole Bonilla, CCC-SLP
• Trevor S. Bonilla, D.D.S., M.S., P.A.
• Alex Bott, OTR

• Dentist in Coppell, TX
• Providers in Coppell, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.