James Debonis, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

031546 Issued in NY

Practice address

211 Pawling Ave
Troy, NY 12180-4813

Phone

(518) 272-2485

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

No

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 NY

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982614228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PAWLING AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121804813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PAWLING AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121804813",
            "telephone_number": "518-272-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBONIS",
        "first_name": "JAMES",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "031546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00031546",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cindy Aleth Dean, MS SLP
• Renae S Deangelo, L.M.S.W.
• Julieanne Dearing, MS-SLP
• Breanne Debarros, PT, DPT
• Brittany Debell
• Debra Q. Virtanen
• Dianne Decurtis, LMSW
• Angela Maria Dejesus, MS.OTR/L
• Josephine Pineda Dela Cruz, MD
• Melissa Delamater

• Dentist in Troy, NY
• Providers in Troy, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.