Neil C Bonstrom DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

D8226 Issued in MN

Legal business name

NEIL C BONSTROM DDS PA

Practice address

6550 York Ave S
Ste 302
Edina, MN 55435

Phone

(952) 920-0863

Fax

(952) 922-8314

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Neil C Bonstrom, DDSNPI 1487740593

Title

President

Phone

(952) 920-0863

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neil Craig Bonstrom, DDS

  • Dentist
  • Edina, MN
  • NPI 1487740593
  NPD (past) Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831309152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 YORK AVE S",
            "address_2": "STE 302",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "952-920-0863",
            "fax_number": "952-922-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 YORK AVE S",
            "address_2": "STE 302",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "952-920-0863",
            "fax_number": "952-922-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL C BONSTROM DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BONSTROM",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-920-0863",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D8226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Anne Neal, MMS, PA-C
• Mary Beth Neal, O.T.R./C.H.T.
• Sian Madison Neal
• Jai Negri, MSW LGSW
• Timothy James Neher, MD
• Jille Neiman, LPCC
• Jessica Robin Nelson-Mitchell, LAMFT, LADC
• Brent Gregory Nelson, M.D.
• Brian Deane Nelson, MD
• Casey Lee Nelson, DDS

• Dentist in Edina, MN
• Providers in Edina, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.