Bonnie J. Anderson, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

1771 Issued in ND

Practice address

20 First Avenue S.W.
Bowman, ND 58623

Phone

(701) 523-5651

Fax

(701) 523-5652

NPI assigned

May 22, 2007

Last updated

Jul 9, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bonnie J. Anderson

  • Dentist
  • Bowman, ND
  • NPI 1417365529
  NPD (past) Authorized official
• Dakota Dental Center, P.L.L.C.

  • Dental Clinic/Center
  • Bowman, ND
  • NPI 1508374497
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1871702282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX E",
            "city": "BOWMAN",
            "state": "ND",
            "postal_code": "58623",
            "telephone_number": "701-523-5651",
            "fax_number": "701-523-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FIRST AVENUE S.W.",
            "city": "BOWMAN",
            "state": "ND",
            "postal_code": "58623",
            "telephone_number": "701-523-5651",
            "fax_number": "701-523-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BONNIE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1771",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ND",
            "license": "1771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41045",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041045",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Able Inc
• Tim Gardiner Adams Jr., MD
• Bachmeier Chiropractic
• Dixie Jean Bachmeier, D.C.
• Jeanette Bagley
• Sheila Bondell, PAC
• Bonnie J. Anderson

• Dentist in Bowman, ND
• Providers in Bowman, ND by specialty
• Dentist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.