Bonita Joann Kipling, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-020115 Issued in OH

Practice address

318 S Market St
Troy, OH 45373-3329

Phone

(937) 339-1115

Fax

(937) 339-5225

NPI assigned

Feb 7, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1952373490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 S MARKET ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453733329",
            "telephone_number": "937-339-1115",
            "fax_number": "937-339-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 S MARKET ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453733329",
            "telephone_number": "937-339-1115",
            "fax_number": "937-339-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPLING",
        "first_name": "BONITA",
        "middle_name": "JOANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-020115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0163228",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yooseung Kim, DDS
• Amy L Kindell
• Bryan Jenkins King, M.D.
• Jenna King, CCC-SLP
• Lindsey Jo Kingrey
• Rabindra Kitchener, M.D.
• Paula Rene Kline, LPN
• Donna Elizabeth Knapp
• Jennifer Knisley, MSW, LSW
• Benjamin Christopher Knotts

• General Practice Dentistry in Troy, OH
• Providers in Troy, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.