Bruce Bohnsack DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8315 Issued in MN

Legal business name

BRUCE BOHNSACK DDS

Practice address

100 3Rd St SW
Cokato, MN 55321-4595

Phone

(320) 286-5333

Fax

(320) 286-5631

NPI assigned

Oct 4, 2012

Last updated

Oct 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Allen Bohnsack, DDSNPI 1912017237

Title

DDS/Owner

Phone

(320) 286-5333

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce A Bohnsack, DDS

  • Dentist
  • Cokato, MN
  • NPI 1912017237
  NPD (past) Authorized official

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1962754606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 3RD ST SW",
            "address_2": "P.O. BOX 669",
            "city": "COKATO",
            "state": "MN",
            "postal_code": "553214595",
            "telephone_number": "320-286-5333",
            "fax_number": "320-286-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 3RD ST SW",
            "city": "COKATO",
            "state": "MN",
            "postal_code": "553214595",
            "telephone_number": "320-286-5333",
            "fax_number": "320-286-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE BOHNSACK DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "BOHNSACK",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "320-286-5333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D8315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "972817100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Marie Anderson, PA
• Bohnsack Family Dentistry, PLLC
• Bruce A Bohnsack, DDS
• Denise Bowe-Swenson, SLP
• Mary Jo Briggs, RPT
• City of Cokato (Cokato Ambulance Service)
• Cokato Charitable Trust (Cokato Manor Companion Care)
• Cokato Charitable Trust (Brookridge)
• Cokato Charitable Trust (Cokato Manor)
• Cokato Charitable Trust (Cokato Manor Home Health)

• General Practice Dentistry in Cokato, MN
• Providers in Cokato, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.