Individual provider Active NPI

Helen Bono, DDS

  • Pediatric Dentistry
  • Murfreesboro, TN
National Provider Identifier
1740600816
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
10244 Issued in TN
Practice address
614 E Clark Blvd
Murfreesboro, TN 37130-2121
Phone
(615) 890-0885
NPI assigned
Apr 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 10244 TN Primary

Addresses

Primary practice location

614 E Clark Blvd
Murfreesboro, TN 37130-2121

Mailing address

1724 Walking Dr
Murfreesboro, TN 37130-1485
Phone (804) 837-7585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20151116000917 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0648580027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10244TNMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardinal Pediatric Dentistry PLLC Pediatric Dentistry CurrentSince Jul 12, 2020 Accepting new patients
McKee, Curry, Stanley, Pediatric Dentistry Partnership Pediatric Dentistry Past Accepting new patients

Locations

11551 Nuckols Rd
Ste H
Glen Allen, VA 23059
Phone (804) 495-8750

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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1740600816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 WALKING DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371301485",
            "telephone_number": "804-837-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 E CLARK BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302121",
            "telephone_number": "615-890-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONO",
        "first_name": "HELEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "10244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.