Bonita Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27961 Issued in TX

Legal business name

BONITA DENTAL PLLC

Practice address

6906 Airline Dr
Ste 106
Houston, TX 77076-2455

Phone

(713) 597-1033

Fax

(713) 597-1132

NPI assigned

Aug 5, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Andy Tran, DDS

Title

Owner

Phone

(713) 597-1033

Specialties & licenses 1

Addresses

Other names 1

• Bonita Dental Doing business as

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1174909766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6906 AIRLINE DR",
            "address_2": "STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770762455",
            "telephone_number": "713-597-1033",
            "fax_number": "713-597-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6906 AIRLINE DR",
            "address_2": "STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770762455",
            "telephone_number": "713-597-1033",
            "fax_number": "713-597-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-597-1033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonita Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Luisa Bonilla, D.C.
• Sebastian Bonilla, LAC
• Tami Bonilla, DDS, MSD
• Liza Anne Bonin, PHD
• Mark Todd Bonin, D.D.S.
• Milton Boniuk, M.D.
• Carmen M. Bonmati, M.D.
• Melissa Bonn
• Arthur Lee Bonner, P.A.
• Briel Bonner

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.