Alysia Marie Bonvino, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

048093 Issued in NY

Practice address

2509 RT 11
Maher Building
Lafayette, NY 13084-9739

Phone

(315) 677-3113

Fax

(315) 677-3114

NPI assigned

Nov 5, 2009

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Laafayette Dental Associates

  • Dentist
  • La Fayette, NY
  • NPI 1871706515
  NPD (past)
• Stephen P. Sheffield, DDS, PLLC

  • Dental Clinic/Center
  • La Fayette, NY
  • NPI 1710600994
  NPD (past)

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1760719124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 259",
            "city": "LAFAYETTE",
            "state": "NY",
            "postal_code": "13084",
            "telephone_number": "315-677-3113",
            "fax_number": "315-677-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 RT 11",
            "address_2": "MAHER BUILDING",
            "city": "LAFAYETTE",
            "state": "NY",
            "postal_code": "130849739",
            "telephone_number": "315-677-3113",
            "fax_number": "315-677-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONVINO",
        "first_name": "ALYSIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnold Robert Baum, DDS
• Robert W Burton, PT OCS
• Paula S Bush, R.N.
• Donna Deanne Coty, D.C.
• David Matthew Hanas, LMT
• Lafayette Ambulance Department Inc

• All providers in Lafayette, NY
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.