Individual provider Active NPI

Frank Michael Bonno, D.D.S

  • General Practice Dentistry
  • Santa Fe, TX
National Provider Identifier
1245374719
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14462 Issued in TX
Practice address
12810 Highway 6
Santa Fe, TX 77510-8613
Phone
(409) 925-2555
Fax
(409) 925-5366
NPI assigned
Feb 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14462 TX Primary

Addresses

Primary practice location

12810 Highway 6
Santa Fe, TX 77510-8613

Mailing address

12810 Highway 6
Santa Fe, TX 77510-8613
Phone (409) 925-2555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 31, 2015 through May 31, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14462TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Fe Dental Associates, L.L.P. General Practice PastSince Mar 13, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1245374719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12810 HIGHWAY 6",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775108613",
            "telephone_number": "409-925-2555",
            "fax_number": "409-925-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 HIGHWAY 6",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775108613",
            "telephone_number": "409-925-2555",
            "fax_number": "409-925-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNO",
        "first_name": "FRANK",
        "middle_name": "MICHAEL",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-17",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, TX

Sources for this page

Verify at the official NPI Registry.