DR. JOHNATHON BOGARD (NPI# 1528629664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528629664 |
| Entity Type | Individual |
| Full Name | DR. JOHNATHON BOGARD |
| Practice Address |
4601 Buffalo Gap Rd Ste D1 Abilene TX 79606-3364 |
| Mailing Address |
925 S Leggett Dr Abilene TX 79605-3835 |
| Practice Telephone | 3256953300 |
| Mailing Telephone | 3255185723 |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
35376 | TX | Dental Providers |
| Street Address |
4601 BUFFALO GAP RD STE D1 |
| City | ABILENE |
| State | TX |
| Zip Code | 79606-3364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746793 | Tara Ann Patrick | Social Worker | Veterans Affairs, 3850 Ridgemont, Abilene, TX 79606 | 2020-09-29 |
| 1740815398 | Kevin William Regan | General Practice | 5326 Meadow Dr., Abilene, TX 79606 | 2020-03-04 |
| 1548800725 | Valentina Walls | Registered Nurse | 14 Verbena St., Abilene, TX 79606 | 2020-01-15 |
| 1932649803 | Palo Pinto County Hospital District | Skilled Nursing Facility | 6050 Hospital Drive, Abilene, TX 79606 | 2017-02-27 |
| 1679925127 | Tania Marie Oyola Rosario | Family Medicine | 6300 Regional Plz Ste 260, Abilene, TX 79606 | 2016-07-08 |
| 1972973196 | Brian Stuart | Specialist/Technologist | 4502 Antilley Rd, Abilene, TX 79606 | 2015-09-30 |
| 1255723151 | Megan Blair Greenway | Specialist/Technologist, Other | 7325 Clariece Drive, Abilene, TX 79606 | 2015-03-02 |
| 1215280698 | James T.s. O'neal II | Physician Assistant | 697 Louisianna Drive, Dyess Afb, TX 79606 | 2012-10-22 |
| 1548522675 | Chukwuemeka Charles Ezeoke | Internal Medicine | 1680 Antilley Rd Ste 120, Abilene, TX 79606 | 2012-06-14 |
| 1801152152 | Jeffrey Darren Edwards | Internal Medicine | 5302 Buffalo Gap Road, Suite 104, Abilene, TX 79606 | 2012-04-11 |
| Find all providers in zip 79606 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548821358 | Andrew Will Tate | Dentist | 2501 Barrow St, Abilene, TX 79605-6236 | 2019-06-23 |
| 1699260497 | Abilene Dental Care South Pllc | Dentist | 4102 Buffalo Gap Rd Ste F, Abilene, TX 79605-7243 | 2018-06-25 |
| 1639459076 | Susan Payne Dds | Dentist | 2381 S 32nd Street, Abilene, TX 79605-7029 | 2011-08-17 |
| 1184902868 | Traci Jean King | Dentist | 2381 South 32nd St, Abilene, TX 79605 | 2011-07-28 |
| 1659691426 | Familia Dental Abilene Pllc | Dentist | 1365 Barrow St, Abilene, TX 79605-5171 | 2010-06-03 |
| 1508092909 | Gene Martin Shelhamer | Dentist | 294 Medical Drive, Abilene, TX 79601 | 2009-06-01 |
| 1093952392 | Finley & Runyan, LLP | Dentist | 4321 Southwest Dr, Abilene, TX 79606-8205 | 2009-01-08 |
| 1750543641 | Melanie J Larson | Dentist | 2601 Barrow St, Abilene, TX 79605-6238 | 2008-07-01 |
| 1629239389 | Michael Jason Alexander | Dentist | #5 Windmill Circle, Abilene, TX 79606 | 2008-06-24 |
| 1417162447 | Barry Lynn Hoefer | Dentist | 2150 S Danville Dr, Abilene, TX 79605-4718 | 2007-05-12 |
| Find all providers in ABILENE | ||||
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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.