NPIMap

Organization Active NPI

Bonner Family Dentistry, PLLC

  • Dentist
  • Dumas, TX
National Provider Identifier
1477089787
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BONNER FAMILY DENTISTRY, PLLC
Practice address
404 E 1St St
Dumas, TX 79029
Phone
(806) 935-6811
Fax
(806) 935-9080
NPI assigned
May 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Authorized official

Name
Dr. Reagan Bonner, D.D.S.NPI 1972890978
Title
Owner Dentist
Phone
(806) 570-5811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X TX Primary

Addresses

Primary practice location

404 E 1St St
Dumas, TX 79029

Mailing address

404 E 1St St
Dumas, TX 79029
Phone (806) 935-6811

National Provider Directory

National Provider Directory

Locations

404 E 1st St
Dumas, TX 79029
Phone (806) 935-6811

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1477089787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E 1ST ST",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "79029",
            "telephone_number": "806-935-6811",
            "fax_number": "806-935-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E 1ST ST",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "79029",
            "telephone_number": "806-935-6811",
            "fax_number": "806-935-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNER FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-05",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "REAGAN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "806-570-5811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; 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.