Dylan Bordonaro, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DEN.00202840 Issued in CO

Practice address

9645 Washington St Ste 100
Thornton, CO 80229-2174

Phone

(303) 455-3313

Fax

(303) 455-3313

NPI assigned

Mar 15, 2014

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• North Smile PLLC

  dba Junior Smiles Childrens Dentistry

  • Pediatric Dentistry
  • Thornton, CO
  • NPI 1457866808
  NPD (past)
• Upper Merion Dental Associates P C

  • Dental Clinic/Center
  • King of Prussia, PA
  • NPI 1235296831
  NPD (past)
• Upper Merion Periodontal Associates

  • Periodontics
  • King of Prussia, PA
  • NPI 1831317254
  NPD (past)

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

{
    "created_epoch": "1394841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1942626833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9645 WASHINGTON ST STE 100",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292174",
            "telephone_number": "303-455-3313",
            "fax_number": "888-580-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9645 WASHINGTON ST STE 100",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292174",
            "telephone_number": "303-455-3313",
            "fax_number": "303-455-3313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "357 S Gulph Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194063136",
            "country_code": "US",
            "telephone_number": "610-337-2325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "357 S Gulph Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194063136",
            "country_code": "US",
            "telephone_number": "610-337-2325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORDONARO",
        "first_name": "DYLAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS038772",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "DEN.00202840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DEN.00202840",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travis Boland
• Gina Stecina Bolinger, PA-C
• Freddie Joseph Bonilla Lamboy, DC
• Erin R. Borchardt
• Laura Border, MC, NCC, LPC, LAC
• Angela Lynne Bornemann, LPC
• Michelle Anne Lones Borunda
• Kate Boschmann
• Chelsea Boshart, FNP-BC
• Haley Bosse

• Pediatric Dentistry in Thornton, CO
• Providers in Thornton, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.