Victoria A Bonar, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6423 Issued in OR

Practice address

810 Liberty St NE
Salem, OR 97301-2450

Phone

(503) 581-4675

Fax

(503) 581-7279

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598812208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 LIBERTY ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012450",
            "telephone_number": "503-581-4675",
            "fax_number": "503-581-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 LIBERTY ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012450",
            "telephone_number": "503-581-4675",
            "fax_number": "503-581-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAR",
        "first_name": "VICTORIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "6423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy Bollinger
• Ashley Boltjes, LMT
• James Bonar, DMD
• Paul J Bonar, DMD
• Thomas Larance Bonar, DMD
• Bonaventure Place Retirement & Assisted Living Community LLC (Bonaventure Retirement & Assisted Living Community)
• Sarah Bond
• Searainya Bond, MFT
• Mary Evelyn Bonds, LCSW
• Alicia Bone Bone, LPC

• General Practice Dentistry in Salem, OR
• Providers in Salem, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.