B. Bonita Richter, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

11569 Issued in GA

Practice address

137 Hand PL
Pelham, GA 31779-1236

Phone

(229) 294-3229

Fax

(229) 294-3231

NPI assigned

Jul 24, 2006

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Enrolled in GA

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.

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902828205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 167",
            "city": "PELHAM",
            "state": "GA",
            "postal_code": "317790167",
            "telephone_number": "229-294-3229",
            "fax_number": "229-294-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 HAND PL",
            "city": "PELHAM",
            "state": "GA",
            "postal_code": "317791236",
            "telephone_number": "229-294-3229",
            "fax_number": "229-294-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "B. BONITA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "11569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00707385A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Taylor Ponder Shiver, FNP-C
• Lisa Smart, DRIVER/OWNER
• Lisa Taylor Speigner, NP
• Strickland Drug Company LLC
• Hunter Mizell Strickland, PHARMD

• All providers in Pelham, GA
• Dentist in Georgia

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.