Organization Active NPI

Vincent J Schaible & Sallyanne Bonner

  • General Practice Dentistry
  • Lebanon, NJ
National Provider Identifier
1972624237
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VINCENT J SCHAIBLE & SALLYANNE BONNER
Practice address
126 Main St
Lebanon, NJ 08833-2126
Phone
(908) 236-9650
Fax
(908) 236-7943
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Dr. Sallyanne Kathryn Bonner, DMDNPI 1679631915
Title
Owner
Phone
(908) 236-9650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

126 Main St
Lebanon, NJ 08833-2126

Mailing address

126 Main St
Lebanon, NJ 08833-2126
Phone (908) 236-9650

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1972624237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 MAIN ST",
            "city": "LEBANON",
            "state": "NJ",
            "postal_code": "088332126",
            "telephone_number": "908-236-9650",
            "fax_number": "908-236-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 MAIN ST",
            "city": "LEBANON",
            "state": "NJ",
            "postal_code": "088332126",
            "telephone_number": "908-236-9650",
            "fax_number": "908-236-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT J SCHAIBLE & SALLYANNE BONNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "SALLYANNE",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-236-9650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.