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Javier Bonamego

Dentist β€’ Saint Augustine, FL

Active NPI 1619819745 Individual Practitioner Male Practitioner
Practice location in NPPES

1980 Us Highway 1 S
Saint Augustine, FL 320864233

Call 9043851936 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1980 Us Highway 1 S

Saint Augustine, FL 320864233

Telephone 9043851936

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Saint Augustine and Florida

7 active clinicians are listed under Dentist with a practice address in Saint Augustine, FL (6,164 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-22
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES FL DN31965

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 22, 2026

Registered at 1980 US HIGHWAY 1 S, SAINT AUGUSTINE, FL 320864233 (Tel: 9043851936)

πŸ“
Updated Business Mailing Address June 22, 2026

Registered at 1980 US HIGHWAY 1 S, SAINT AUGUSTINE, FL 320864233 (Tel: 9046598047)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2026

Dentist (license number reported to NPPES: FL DN31965)

βœ…
NPI Profile Active April 07, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 07, 2026

Registered at 1011 N UNIVERSITY AVE, ANN ARBOR, MI 481091078 (Tel: 7347636933)

πŸ“
Business Mailing Address (Initial Record) April 07, 2026

Registered at 322 VILLAGE GREEN BLVD APT 102, ANN ARBOR, MI 481053621 (Tel: 9548216512)

πŸ‘€
Provider Name / Credentials (Initial Record) April 07, 2026

Recorded as JAVIER BONAMEGO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2026

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 07, 2026

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1619819745
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2026
Last Update: June 22, 2026
Sole Proprietor: Yes

Other Dentists in Saint Augustine

Healthcare providers in Saint Augustine

Mailing Address

1980 Us Highway 1 S

Saint Augustine, FL 320864233

Phone: 9046598047

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.