Active NPI
Helen Bono, DDS
- Pediatric Dentistry
- Murfreesboro, TN
National Provider Identifier
1740600816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 10244
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151116000917 | IL | Order and Referring Only - Oral Surgery | 0648580027 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10244 | TN | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardinal Pediatric Dentistry PLLC | Pediatric Dentistry | Current | 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.
-
- Pediatric Dentistry
- Glen Allen, VA
- NPI 1154948289
-
dba Wild About Smiles
- Pediatric Dentistry
- Murfreesboro, TN
- NPI 1942281571
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.