Scott C. Bonin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49845 Issued in CA

Practice address

100 Windsor River Rd
Windsor, CA 95492-9204

Phone

(707) 838-1400

Fax

(707) 838-1489

NPI assigned

Aug 14, 2007

Last updated

Jul 22, 2022By the provider in NPPES

Sex

Male

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

Locations

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

• Scott C. Bonin D.D.S. a Professional Denal Corporation

  dba Bonin Family Dentist and Dental Care

  • General Practice Dentistry
  • Windsor, CA
  • NPI 1346806791
  NPD Authorized official
• Luke F Landeros, DDS, PC

  • General Practice Dentistry
  • Santa Rosa, CA
  • NPI 1689238396
  NPD (past)

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1154513083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WINDSOR RIVER RD",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954929204",
            "telephone_number": "707-838-1400",
            "fax_number": "707-838-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WINDSOR RIVER RD",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954929204",
            "telephone_number": "707-838-1400",
            "fax_number": "707-838-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONIN",
        "first_name": "SCOTT",
        "middle_name": "C.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cibelle Aparicio, MA
• Patricia Aston, M.A.
• Stephanie Avellaneda, MFT
• Lori Barekman, PT
• Jamila M Benn, MD
• Stephen William Booth
• William David Bowden, D.O., F.A.C.C.
• Jennifer L Bowen, RN
• Chemarin Eve Boyd, PHD
• Paolo J Breschi, PPS, LMFT,

• General Practice Dentistry in Windsor, CA
• Providers in Windsor, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.