Doctor Mom PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DOCTOR MOM PLLC

Practice address

1333 W McDermott Dr Ste 150
Allen, TX 75013-3088

Phone

(972) 478-0696

Fax

(844) 296-5471

NPI assigned

Jun 18, 2019

Last updated

Oct 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shauntelle Dene Bonman, DONPI 1811272719

Title

Physician

Phone

(972) 284-9498

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: doctormom@mdofficemail.com
• FHIR API: https://api.platform.athenahealth.com/19817/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shauntelle Dene Bonman, D.O.

  • Family Medicine Physician
  • Allen, TX
  • NPI 1811272719
  NPD Authorized official

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1750941118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 SHADETREE LN",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135415",
            "fax_number": "844-296-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 W MCDERMOTT DR STE 150",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133088",
            "telephone_number": "972-478-0696",
            "fax_number": "844-296-5471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Custer Rd # 270-7004",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750754422",
            "country_code": "US",
            "telephone_number": "972-478-0696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 North Greenville Avenue",
            "address_2": "Suite 616C",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "75002",
            "country_code": "US",
            "telephone_number": "972-478-0696",
            "fax_number": "844-296-5471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOCTOR MOM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "BONMAN",
        "authorized_official_first_name": "SHAUNTELLE",
        "authorized_official_middle_name": "DENE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "972-284-9498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Doctormom@mdofficemail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "3000 Custer Rd # 270-7004",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750754422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Phuong Minh Diep
• Dipali Nigudkar DMD PLLC (Allen Heights Dental)
• Jazmine Dixon
• Mandi Lea Dixon
• DMS Telehealth Texas LLC (DMS Telehealth Texas)
• Kavita Doddamane, DMD, MS
• Lindsay Dodge
• Carol Dodgen
• Mark F Doerner, M.D.
• Dennis Dean Doles, DDS

• Family Medicine Physician in Allen, TX
• Providers in Allen, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.