DR. PAUL STEVEN BONNER (NPI# 1407010457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407010457 |
| Entity Type | Individual |
| Full Name | DR. PAUL STEVEN BONNER |
| Credential | DDS |
| Practice Address |
1 Eureka Cir Suite 103 Wichita Falls TX 76308-2929 |
| Mailing Address |
1 Eureka Circle Ste 103 Wichita Falls TX 76308-2929 |
| Practice Telephone | 9406915027 |
| Mailing Telephone | 9406915027 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 14022 | TX | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
14022 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 126799902 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033570965 | Paul Bonner | Student in an Organized Health Care Education/Training Program | 5100 W Broad St, Columbus, OH 43228-1607 | 2016-03-20 |
| 1891882999 | Paul Bonner | Nurse Anesthetist, Certified Registered | 3601 Tvc, Nashville, TN 37232-0001 | 2006-10-09 |
| Street Address |
1 EUREKA CIR SUITE 103 |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76308-2929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750701058 | Divya Venkataraman Dmd Pllc | Dentist | 1 Eureka Cir, Suite 103, Wichita Falls, TX 76308-2929 | 2014-04-24 |
| 1700011160 | Divya Iyer | Dentist | 1 Eureka Cir, Suite 103, Wichita Falls, TX 76308-2929 | 2009-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098434 | D Esthetique Cosmetic &laser Center | Nurse Practitioner | 3916 Callfield Road, Suite 300, Wichita Falls, TX 76308 | 2019-11-25 |
| 1295229029 | Wichita Falls Snf LLC | Skilled Nursing Facility | 4810 Kemp Boulevard, Wichita Falls, TX 76308 | 2018-06-15 |
| 1891295465 | Kelli Dawn Francis | Licensed Vocational Nurse | 4401 Randel, Wichita Falls, TX 76308 | 2018-02-20 |
| 1548789639 | Team Thin and Fit, Pllc | Preventive Medicine | 3602 Grant Street, Wichita Falls, TX 76308 | 2017-09-11 |
| 1972025807 | Louann Whittington | Counselor | 2211 Midwestern Pkwy Ste 2, Wichita Falls, TX 76308 | 2017-07-12 |
| 1487180428 | Metx, LLC | Audiologist-Hearing Aid Fitter | 2911 Bob Ave, Wichita Falls, TX 76308 | 2017-05-11 |
| 1013450295 | Tonya Doyle | Specialist/Technologist, Other | 9 Red Bluff, Wichita Falls, TX 76308 | 2016-11-21 |
| 1851847693 | Wichita Falls Emergency Center, LLC | Clinic/Center | 4121 Southwest Parkway, Wichita Falls, TX 76308 | 2016-08-31 |
| 1053710376 | Baylor County Hospital District | Skilled Nursing Facility | 4810 Kemp Blvd, Wichita Falls, TX 76308 | 2014-08-22 |
| 1386910065 | Family Dentistry of Texoma | Dentist | 4506 Kemp Blvd., Wichita Falls, TX 76308 | 2012-03-28 |
| Find all providers in zip 76308 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699135087 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 3916 Call Field Rd, Ste 600, Wichita Falls, TX 76308-2693 | 2016-02-29 |
| 1154708162 | Wichita Smiles | Dentist | 2120 Virginia Dr Ste A, Wichita Falls, TX 76309-4646 | 2015-04-28 |
| 1992110894 | Jeffrey Johnson | Dentist | 2120 Virginia Dr, Wichita Falls, TX 76309-4646 | 2014-06-30 |
| 1669894267 | Shilpa Karri | Dentist | 3901 Kemp Blvd, Wichita Falls, TX 76308-2118 | 2014-01-16 |
| 1720320252 | Jason Leet | Dentist | 4810 Earl St, Wichita Falls, TX 76302-3902 | 2013-03-22 |
| 1295003671 | Dental Works | Dentist | 2515 East Elliott St, R, Wichita Falls, TX 76308 | 2011-12-13 |
| 1316066723 | James Royce Green | Dentist | 2200 Kell Blvd., Wichita Falls, TX 76309 | 2007-03-28 |
| 1366594822 | Tracy Jill Hill | Dentist | 2211 Midwestern Parkway, Suite 5, Wichita Falls, TX 76308-2388 | 2007-01-17 |
| 1073685806 | Horace Oscar Boston | Dentist | 505 Brook Avenue, Suite A, Wichita Falls, TX 76301 | 2006-11-15 |
| 1043399637 | Robert Stanley Polovy | Dentist | 2925 Southwest Pkwy Ste 500, Wichita Falls, TX 76308-4100 | 2006-11-03 |
| Find all providers in WICHITA FALLS | ||||
| City | WICHITA FALLS |
| Zip Code | 76308 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.