Active NPI
Robin Elaine Bonnell, D.M.D.
- Dentist
- Barbourville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8692
- Practice address
- 16 Windburn Dr
Barbourville, KY 40906-7843 - Phone
- (606) 261-7309
- NPI assigned
- May 2, 2007
- Last updated
- Jun 22, 2015
- Sex
- Female
- 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 | 8692 | KY | Primary |
| General Practice Dentistry | 1223G0001X | 0401410153 | VA |
Addresses
Primary practice location
16 Windburn Dr
Barbourville, KY 40906-7843
Mailing address
1004 Pinella Dr
Corbin, KY 40701-8763
Phone (606) 261-7309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8692 | KY | MD | Dentist |
| 0401410153 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dayspring Health, Inc. | Current | Accepting new patients | |
| Dayspring Health Inc | Dentist | Current | Accepting new patients |
| Dayspring Health Inc | Current | Accepting new patients |
Locations
402 Cumberland Ave
Williamsburg, KY 40769
Phone (423) 784-5771
640 W Highway 92
Ste 3
Williamsburg, KY 40769
Phone (606) 549-0464
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Dayspring Dental
- Federally Qualified Health Center (FQHC)
- Williamsburg, KY
- NPI 1871631804
-
dba Dayspring Dental
- Federally Qualified Health Center (FQHC)
- Williamsburg, KY
- NPI 1841764271
Dentist
-
dba Dayspring Regional Health Center
- Federally Qualified Health Center (FQHC)
- Williamsburg, KY
- NPI 1538867551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434931200000",
"number": "1518189679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 PINELLA DR",
"city": "CORBIN",
"state": "KY",
"postal_code": "407018763",
"telephone_number": "606-261-7309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 WINDBURN DR",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409067843",
"telephone_number": "606-261-7309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNELL",
"first_name": "ROBIN",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2015-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "8692",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401410153",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barbourville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.