Anupama Bonam, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

38547 Issued in TX

Practice address

4315 Fredericksburg Rd
San Antonio, TX 78201-2017

Phone

(210) 399-3958

NPI assigned

Jun 24, 2022

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1346971868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 SW MILITARY DR STE 132",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211567",
            "telephone_number": "210-923-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 FREDERICKSBURG RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782012017",
            "telephone_number": "210-399-3958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 SW Military Dr Ste 132",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782211567",
            "country_code": "US",
            "telephone_number": "210-923-2337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONAM",
        "first_name": "ANUPAMA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "38547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dillon R. Jeremy Bomer, D.P.T.
• Sindhu Reddy Bommineni
• Bona Healthcare Corporation
• Kristina Bona
• Marcela A. Bonafina, PH.D
• Julia Bonano
• Joseph M Bonasera, LICSW
• Steven Boncek, M.A., BCBA
• Sandra Jo Bonciolini, LCSW
• Christina Bond, LVN

• All providers in San Antonio, TX
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.