Reagan Allen Bonner, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

27086 Issued in TX

Practice address

404 E 1St St
Dumas, TX 79029

Phone

(806) 935-6811

Fax

(806) 935-9080

NPI assigned

Jun 29, 2011

Last updated

Mar 12, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bonner Family Dentistry, PLLC

  • Dentist
  • Dumas, TX
  • NPI 1477089787
  NPD Authorized official
• Dumas Family Dental Care PLLC

  • General Practice Dentistry
  • Dumas, TX
  • NPI 1770262784
  NPD
• David M. Bonner, D.D.S., P.C.

  • Dentist
  • Dumas, TX
  • NPI 1346518156
  NPD (past)

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1972890978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E 1ST ST",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "79029",
            "telephone_number": "806-935-6811",
            "fax_number": "806-935-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E 1ST ST",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "79029",
            "telephone_number": "806-935-6811",
            "fax_number": "806-935-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "REAGAN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27086",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "27086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kandon Bennett
• John Eric Boggs, DC
• Adriana Bonilla
• Bonner Family Dentistry, PLLC
• David Mal Bonner, DDS
• Bonnie C Carter MD PA (Carter Family Medicine)
• Margaret Bower, M.D.
• Lilah Ali Briseno
• Brandon Bugtai
• Bumble Bee Smiles

• Dentist in Dumas, TX
• Providers in Dumas, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.