Individual provider Active NPI

Carroll Douglas Bohne, DDS

  • Dentist
  • Mission Viejo, CA
National Provider Identifier
1871626028
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
28520 Issued in CA
Practice address
26032 Marguerite Pkwy
Suite B
Mission Viejo, CA 92692-5281
Phone
(949) 348-0880
Fax
(949) 348-1627
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 28520 CA Primary

Addresses

Primary practice location

26032 Marguerite Pkwy
Suite B
Mission Viejo, CA 92692-5281

Mailing address

26032 Marguerite Pkwy
Suite B
Mission Viejo, CA 92692-5281
Phone (949) 348-0880

Other names 1

  • Dr. Douglas Bohne Other name

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
David Yue, DDS Inc. Dentist 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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871626028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26032 MARGUERITE PKWY",
            "address_2": "SUITE B",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926925281",
            "telephone_number": "949-348-0880",
            "fax_number": "949-348-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26032 MARGUERITE PKWY",
            "address_2": "SUITE B",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926925281",
            "telephone_number": "949-348-0880",
            "fax_number": "949-348-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHNE",
        "first_name": "CARROLL",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "28520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOUGLAS",
            "last_name": "BOHNE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.