Jan M. Bohonek, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.018311 Issued in OH

Practice address

11351 Pearl Rd
Suite 302
Strongsville, OH 44136-3331

Phone

(440) 846-8833

Fax

(440) 846-8920

NPI assigned

Sep 1, 2009

Last updated

Sep 1, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1972736346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11351 PEARL RD",
            "address_2": "SUITE 302",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441363331",
            "telephone_number": "440-846-8833",
            "fax_number": "440-846-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11351 PEARL RD",
            "address_2": "SUITE 302",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441363331",
            "telephone_number": "440-846-8833",
            "fax_number": "440-846-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHONEK",
        "first_name": "JAN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.018311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Lorinda Blase, COTA
• Samantha Blashinsky
• Thomas Gregory Blatnik
• Caleigh Blum, LSW
• Carrie Lynn Blum, COTA-L
• Steve Bolden, NREMTP
• Michelle Bolger, MSN APRN FNP-C
• Therese M Bonamer, D.D.S.
• Teodora T Bonney, DMD
• Judith Melissa Bordeaux, D.M.D., M.S.D.

• General Practice Dentistry in Strongsville, OH
• Providers in Strongsville, 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 Sep 1, 2009; 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.