Individual provider Active NPI

Robert T Bohnenberger, D.M.D.

  • General Practice Dentistry
  • Exton, PA
National Provider Identifier
1760653950
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS030684L Issued in PA
Practice address
407 W Lincoln Hwy
Suite 50 West
Exton, PA 19341-2521
Phone
(484) 872-8032
Fax
(484) 872-8034
NPI assigned
Mar 17, 2008
Last updated
Jul 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS030684L PA Primary

Addresses

Primary practice location

407 W Lincoln Hwy
Suite 50 West
Exton, PA 19341-2521

Mailing address

407 W Lincoln Hwy
Suite 50 West
Exton, PA 19341-2521
Phone (484) 872-8032

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS030684LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1760653950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W LINCOLN HWY",
            "address_2": "SUITE 50 WEST",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412521",
            "telephone_number": "484-872-8032",
            "fax_number": "484-872-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W LINCOLN HWY",
            "address_2": "SUITE 50 WEST",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412521",
            "telephone_number": "484-872-8032",
            "fax_number": "484-872-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHNENBERGER",
        "first_name": "ROBERT",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-17",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS030684L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.