Lyle I Bonny, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00006196 Issued in WA

Practice address

112 S 39TH St
Yakima, WA 98901-1450

Phone

(509) 248-4957

Fax

(509) 575-5436

NPI assigned

Jul 30, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in WA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Lyle I Bonny

  • Dentist
  • Yakima, WA
  • NPI 1588112841
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689689564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 W YAKIMA AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989022833",
            "telephone_number": "509-452-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S 39TH ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989011450",
            "telephone_number": "509-248-4957",
            "fax_number": "509-575-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNY",
        "first_name": "LYLE",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00006196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista L Bonar, M.S.
• Amy Y Bond, MSW
• Brittany Jo Bonilla, LMP
• Deann Bonine
• Katelyn E Bonny, DO
• Sloane Booterbaugh, DO
• Lihiri Bora, MD
• Eric K. Borchert, D.D.S.
• Ashley Rochelle Borders, LMP
• Evelyn Arisbeth Borges, RN

• General Practice Dentistry in Yakima, WA
• Providers in Yakima, WA by specialty
• General Practice Dentistry in Washington

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.