Individual provider Active NPI

Daniel Macdonald Bonine, DDS

  • Dentist
  • Kalamazoo, MI
National Provider Identifier
1467660555
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901019499 Issued in MI
Practice address
200 Turwill LN
Kalamazoo, MI 49006-4277
Phone
(269) 381-4435
NPI assigned
May 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901019499 MI Primary

Addresses

Primary practice location

200 Turwill LN
Kalamazoo, MI 49006-4277

Mailing address

200 Turwill LN
Kalamazoo, MI 49006-4277
Phone (269) 381-4435

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

LicenseStateTypeSpecialty
2901019499MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel M Bonine DDS PLLC Dentist CurrentSince Apr 3, 2022 Accepting new patients

Locations

200 Turwill Ln
Kalamazoo, MI 49006
Phone (269) 344-4413

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1467660555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TURWILL LN",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490064277",
            "telephone_number": "269-381-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TURWILL LN",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490064277",
            "telephone_number": "269-381-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONINE",
        "first_name": "DANIEL",
        "middle_name": "MACDONALD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.