Individual provider Active NPI

Donald Hoyt Bohne, D.D.S.

  • General Practice Dentistry
  • Tucker, GA
National Provider Identifier
1629125869
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7403 Issued in GA
Practice address
4958 Lavista Rd
Tucker, GA 30084-4403
Phone
(770) 939-6600
Fax
(770) 939-1287
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 7403 GA Primary

Addresses

Primary practice location

4958 Lavista Rd
Tucker, GA 30084-4403

Mailing address

4958 Lavista Rd
Tucker, GA 30084-4403
Phone (770) 939-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 3, 2016 through May 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Donald H. Bohne, DDS, PA CurrentSince Dec 13, 2020 Accepting new patients

Locations

4958 Lavista Rd
Tucker, GA 30084
Phone (770) 493-8500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629125869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4958 LAVISTA RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844403",
            "telephone_number": "770-939-6600",
            "fax_number": "770-939-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4958 LAVISTA RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844403",
            "telephone_number": "770-939-6600",
            "fax_number": "770-939-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHNE",
        "first_name": "DONALD",
        "middle_name": "HOYT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "7403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

Verify at the official NPI Registry.