Active NPI
Allison M Bonham, D.C.
- Pediatric Chiropractor
- Centerville, OH
National Provider Identifier
1639419989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Chiropractor
- License
- 4370
- Practice address
- 101 E Alex Bell Rd
Ste #186
Centerville, OH 45459-2753 - Phone
- (937) 416-5957
- NPI assigned
- Feb 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Chiropractor | 111NP0017X | DC0000002618 | TN | |
| Pediatric Chiropractor | 111NP0017X | 4370 | OH | Primary |
Addresses
Primary practice location
101 E Alex Bell Rd
Ste #186
Centerville, OH 45459-2753
Mailing address
101 E Alex Bell Rd
Ste #186
Centerville, OH 45459-2753
Phone (937) 416-5957
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC0000002618 | TN | MD | Pediatric Chiropractor |
| 4370 | OH | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom Health Center | Past | Accepting new patients |
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.
-
- Chiropractor
- Centerville, OH
- NPI 1609219377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362355200000",
"number": "1639419989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E ALEX BELL RD",
"address_2": "STE #186",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454592753",
"telephone_number": "937-416-5957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E ALEX BELL RD",
"address_2": "STE #186",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454592753",
"telephone_number": "937-416-5957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONHAM",
"first_name": "ALLISON",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-24",
"last_updated": "2013-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "TN",
"license": "DC0000002618",
"primary": false
},
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "OH",
"license": "4370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.