Individual provider Active NPI

Christian Lee Bond, DMD

  • General Practice Dentistry
  • Blue Ash, OH
National Provider Identifier
1558102830
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.027530 Issued in OH
Practice address
4122 Hunt Rd
Blue Ash, OH 45236-1159
Phone
(513) 828-6708
NPI assigned
Jun 3, 2024
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.027530 OH Primary

Addresses

Primary practice location

4122 Hunt Rd
Blue Ash, OH 45236-1159

Mailing address

4424 Orchard LN
Cincinnati, OH 45236-3131
Phone (606) 493-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241010003285 OH Order and Referring Only - DentistPractitioner - Dentist 7810429297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.027530OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nguyen Blue Ash Modern Dentistry PC, Inc. General Practice CurrentSince Jun 9, 2024 Accepting new patients

Locations

4122 Hunt Rd
Blue Ash, OH 45236
Phone (513) 828-6708

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1558102830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 ORCHARD LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452363131",
            "telephone_number": "606-493-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 HUNT RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452361159",
            "telephone_number": "513-828-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "CHRISTIAN",
        "middle_name": "LEE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.027530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.