Individual provider Active NPI

Joshua Douglas Bonine, D.C.

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1770715583
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11173 Issued in TX
Practice address
5999 De Zavala Rd
Suite 145
San Antonio, TX 78249-2233
Phone
(210) 699-0500
Fax
(210) 699-0501
NPI assigned
Aug 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11173 TX Primary

Addresses

Primary practice location

5999 De Zavala Rd
Suite 145
San Antonio, TX 78249-2233

Mailing address

5999 De Zavala Rd
Suite 145
San Antonio, TX 78249-2233
Phone (210) 699-0500

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

Practice roles

OrganizationSpecialtyStatusNew patients
Generation Chiropractic PLLC Chiropractor Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250035200000",
    "number": "1770715583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5999 DE ZAVALA RD",
            "address_2": "SUITE 145",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492233",
            "telephone_number": "210-699-0500",
            "fax_number": "210-699-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5999 DE ZAVALA RD",
            "address_2": "SUITE 145",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492233",
            "telephone_number": "210-699-0500",
            "fax_number": "210-699-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONINE",
        "first_name": "JOSHUA",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.