Tami Bonilla, DDS, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

30751 Issued in TX

Practice address

1250 Bay Area Blvd
Houston, TX 77058-2545

Phone

(281) 488-6630

NPI assigned

Apr 5, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jeffrey W Ball DDS PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Houston, TX
  • NPI 1609954080
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1104289271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7903 SHARPCREST ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770366447",
            "telephone_number": "512-963-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 BAY AREA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582545",
            "telephone_number": "281-488-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "TAMI",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "30751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrid Vanessa Bonilla Valente, MD
• Connie Bonilla, LVN
• Maria Bonilla
• Maria Luisa Bonilla, D.C.
• Sebastian Bonilla, LAC
• Liza Anne Bonin, PHD
• Mark Todd Bonin, D.D.S.
• Bonita Dental PLLC
• Milton Boniuk, M.D.
• Carmen M. Bonmati, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.