Individual provider Active NPI

James D. Bohn III, D.M.D.

  • General Practice Dentistry
  • Cary, NC
National Provider Identifier
1881600104
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8872 Issued in NC
Practice address
3100 NC Highway 55
Suite 201
Cary, NC 27519-8426
Phone
(919) 363-3133
Fax
(919) 363-3134
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8872 NC Primary

Addresses

Primary practice location

3100 NC Highway 55
Suite 201
Cary, NC 27519-8426

Mailing address

3100 NC Highway 55
Suite 201
Cary, NC 27519-8426
Phone (919) 363-3133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160304000707 NC Order and Referring Only - DentistPractitioner - Dentist 8729384565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1881600104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 NC HIGHWAY 55",
            "address_2": "SUITE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198426",
            "telephone_number": "919-363-3133",
            "fax_number": "919-363-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NC HIGHWAY 55",
            "address_2": "SUITE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198426",
            "telephone_number": "919-363-3133",
            "fax_number": "919-363-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHN",
        "first_name": "JAMES",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.