Individual provider Active NPI

Javier Bonamego

  • Dentist
  • Saint Augustine, FL
National Provider Identifier
1619819745
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN31965 Issued in FL
Practice address
1980 US Highway 1 S
Saint Augustine, FL 32086-4233
Phone
(904) 385-1936
NPI assigned
Apr 7, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN31965 FL Primary

Addresses

Primary practice location

1980 US Highway 1 S
Saint Augustine, FL 32086-4233

Mailing address

1980 US Highway 1 S
Saint Augustine, FL 32086-4233
Phone (904) 659-8047

Other names 1

  • Javier Alberto Sowers Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1619819745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 US HIGHWAY 1 S",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320864233",
            "telephone_number": "904-659-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 US HIGHWAY 1 S",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320864233",
            "telephone_number": "904-385-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAMEGO",
        "first_name": "JAVIER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN31965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAVIER",
            "last_name": "SOWERS",
            "middle_name": "ALBERTO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.