Individual provider Active NPI

Howard John Bonenberger, DPM

  • Podiatrist
  • Nashua, NH
National Provider Identifier
1669556692
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0181 Issued in NH
Practice address
17 Riverside St
Suite 205
Nashua, NH 03062-1304
Phone
(603) 882-8866
Fax
(603) 882-8968
NPI assigned
Oct 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Podiatrist 213E00000X 0181 NH Primary

Addresses

Primary practice location

17 Riverside St
Suite 205
Nashua, NH 03062-1304

Mailing address

17 Riverside St
Suite 205
Nashua, NH 03062-1304
Phone (603) 882-8866

Other identifiers 2

IdentifierTypeStateIssuer
0308266Y0NH01OtherNHANTHEM LEGACY NUMBER
30364060MedicaidNH

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Portsmouth Foot and Ankle, Nashua, PLLC Podiatrist PastSince Apr 14, 2017 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669556692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 RIVERSIDE ST",
            "address_2": "SUITE 205",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621304",
            "telephone_number": "603-882-8866",
            "fax_number": "603-882-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 RIVERSIDE ST",
            "address_2": "SUITE 205",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621304",
            "telephone_number": "603-882-8866",
            "fax_number": "603-882-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONENBERGER",
        "first_name": "HOWARD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NH",
            "license": "0181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM LEGACY NUMBER",
            "identifier": "0308266Y0NH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30364060",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.