Robert J De Bonis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

40 Issued in VI

Practice address

16213 Spring GDN
Coccoloba Shops
St John, VI 00830-9525

Phone

(340) 775-9950

NPI assigned

Feb 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• West 79TH Street Chiropractic, PLLC

  • Chiropractor
  • New York, NY
  • NPI 1306917976
  NPD (past)

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1790757474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 ESTATE ENIGHED",
            "address_2": "PMB #371",
            "city": "ST JOHN",
            "state": "VI",
            "postal_code": "008306120",
            "telephone_number": "340-775-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16213 SPRING GDN",
            "address_2": "COCCOLOBA SHOPS",
            "city": "ST JOHN",
            "state": "VI",
            "postal_code": "008309525",
            "telephone_number": "340-775-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE BONIS",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X2240",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VI",
            "license": "40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in St John, VI
• Chiropractor in U.S. Virgin Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.