Codie Bontz, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

37977 Issued in TX

Practice address

5848 Abrams Rd
Dallas, TX 75214-1603

Phone

(214) 545-0111

NPI assigned

Oct 28, 2021

Last updated

Feb 5, 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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1164186805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5848 ABRAMS RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752141603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5848 ABRAMS RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752141603",
            "telephone_number": "214-545-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONTZ",
        "first_name": "CODIE",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-28",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "37977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonny S. Olney, D.O., P.a.
• Matthew Bonser, CRNA
• Whitney Morgan Bonser, AGACNP
• Mary L Bonsu, PSY.D
• Frances Beth Bontempo, PH.D.
• Andrea Bonzell
• Ismail Boodhwani Jr., FNP-C
• Lueretha Yvonne Booker, MA
• Shelley Booker, D.C.
• Vance Wayne Booker Jr., O.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Dallas, TX
• Providers in Dallas, 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 Feb 5, 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.