Christopher James Bonham, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 0010218 Issued in FL

Practice address

12720 Ulmerton Rd
Largo, FL 33774-3601

Phone

(727) 581-1869

Fax

(727) 581-2087

NPI assigned

Jun 18, 2008

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Christopher J. Bonham, D.M.D., P.a.

  • General Practice Dentistry
  • Largo, FL
  • NPI 1740309897
  NPD (past) Authorized official
• J. Carey Bonham DMD, PL

  • General Practice Dentistry
  • Largo, FL
  • NPI 1295172195
  NPD (past)

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1659532109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 ULMERTON RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743601",
            "telephone_number": "727-581-1869",
            "fax_number": "727-581-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 ULMERTON RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743601",
            "telephone_number": "727-581-1869",
            "fax_number": "727-581-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONHAM",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 0010218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hassan Ayaz Bokhari, MD
• Cornelia Bolgehn, ARNP
• Nick Angelo Bologno, LMT
• Gloria J Bone, PT
• Amy Elizabeth Bonham
• James Carey Bonham, D.M.D.
• Wojciech M Bonkowski, PHARMD
• Celisa K Bonner, LCSW
• Carola Bonsor, APRN
• Elizabeth Boozer, MSP, CCC-SLP

• General Practice Dentistry in Largo, FL
• Providers in Largo, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.