Leslie K Marr-Bonar, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38206 Issued in CA

Practice address

457 E Grand Ave
#4
Escondido, CA 92025-3353

Phone

(760) 747-7878

Fax

(760) 747-2156

NPI assigned

Oct 18, 2005

Last updated

Sep 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Charles U. Basso DDS Inc

  dba Grand Dentistry

  • General Practice Dentistry
  • Escondido, CA
  • NPI 1497389373
  NPD (past)
• Leslie K Bonar DDS Apc & Charles U Basso DDS Apc PTR

  • General Practice Dentistry
  • Escondido, CA
  • NPI 1487709572
  NPD (past)

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1942299300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 E GRAND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253353",
            "telephone_number": "760-747-7878",
            "fax_number": "760-747-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 E GRAND AVE",
            "address_2": "#4",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253353",
            "telephone_number": "760-747-7878",
            "fax_number": "760-747-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARR-BONAR",
        "first_name": "LESLIE",
        "middle_name": "K",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "38206",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Kurt Marler, DDS
• Adrienne Marquez
• Caroline Marquez
• Marci Anna Marquez, DPT
• Sophia Grutsis Marquis, PA
• Jennifer Marsh, LMFT
• Colleen Mae Marshall, MFT
• Laurie Nicole Marshall
• Rosanna Bairan Marshall, D.M.D.
• Jim Marte, PA-C

• General Practice Dentistry in Escondido, CA
• Providers in Escondido, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.