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

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SCOTT C. BONIN D.D.S. A PROFESSIONAL DENAL CORPORATION

Doing business as

Bonin Family Dentist and Dental Care

Practice address

100 Windsor River Rd
Windsor, CA 95492-9204

Phone

(707) 838-1400

NPI assigned

May 11, 2019

Last updated

Jul 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott Collier Bonin, DDSNPI 1154513083

Title

President

Phone

(619) 733-7947

Specialties & licenses 1

Addresses

Other names 1

• Bonin Family Dentist and Dental Care Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott C. Bonin, DDS

  • General Practice Dentistry
  • Windsor, CA
  • NPI 1154513083
  NPD Authorized official
• Kurt David Mitchler, D.D.S.

  • Dentist
  • Windsor, CA
  • NPI 1245229996
  NPD (past)

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

{
    "created_epoch": "1557532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1346806791",
    "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT C. BONIN D.D.S. A PROFESSIONAL DENAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-11",
        "last_updated": "2022-07-22",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "BONIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "COLLIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-733-7947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonin Family Dentist and Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Willow J Sanders
• Satellite Dialysis Windsor, LLC (Satellite Healthcare Windsor)
• Satellite Healthcare Inc (Satellite Dialysis)
• David L. Scheiner, D.D.S.
• Lauren Schmidt
• Steven Ernest Scott, DDS
• Tabitha A Scott, LCSW
• Marianne Garcia Seli
• Sung Eun Seo
• Serafica Dental Corporation

• 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.