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TARA MARIE BONNEAU RDH, BS, MBA
NPI 1124873443
Dental Hygienist in Greeley, CO

Active since April 19, 2024PECOS Enrolled
1752 28TH AVE, GREELEY, CO 80634(303) 808-7722 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tara Marie Bonneau Rdh, Bs, Mba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA MARIE BONNEAU RDH, BS, MBA (NPI 1124873443) is an individual dental hygienist in Greeley, Colorado, licensed in Colorado (002024691) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124873443
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameTARA MARIE BONNEAUCredential: RDH, BS, MBA
Location Address1752 28TH AVEGreeley, CO 80634-5715
Mailing Address1752 28th AveGreeley, CO 80634-5715 · (303) 808-7722
Phone(303) 808-7722
Sole ProprietorYes
Enumeration DateApril 19, 2024
NPPES CertifiedApril 19, 2024
✔ NPI 1124873443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in CO · 002024691
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
1752 28TH AVE, Greeley, CO 80634
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara Marie Bonneau Rdh, Bs, Mba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SMILE BAR LLC
Clinic/Center (Dental)
1752 28TH AVE
GREELEY, CO 80634
Weld County (303) 808-7722

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Marie Bonneau's NPI number?

The NPI number for Tara Marie Bonneau is 1124873443. It was assigned to this individual provider in the NPPES registry on April 19, 2024.

Where is Tara Marie Bonneau located?

Tara Marie Bonneau practices at 1752 28th Ave, Greeley, CO 80634. The listed phone number is (303) 808-7722.

What is Tara Marie Bonneau's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Is Tara Marie Bonneau enrolled in Medicare?

Yes. Tara Marie Bonneau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tara Marie Bonneau was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.