Frank Bonner, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

19302 Issued in TX

Practice address

5756 S Staples St
Suite a-2
Corpus Christi, TX 78413-3858

Phone

(361) 993-3100

Fax

(361) 993-2712

NPI assigned

Feb 4, 2015

Last updated

Feb 4, 2015By the provider in NPPES

Sex

Male

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

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 25, 2016 through May 25, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bonner Endodontic Center

  • Endodontics
  • Corpus Christi, TX
  • NPI 1194934778
  NPD (past) Authorized official

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1407246960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5756 S STAPLES ST",
            "address_2": "SUITE A-2",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133858",
            "telephone_number": "361-993-3100",
            "fax_number": "361-993-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5756 S STAPLES ST",
            "address_2": "SUITE A-2",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133858",
            "telephone_number": "361-993-3100",
            "fax_number": "361-993-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "19302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Bongato-Merren
• Immaculate Dinyuy Ayuni Bongham, MD
• Frank P. Bonikowski, M.D.
• Maira Alexandra Bonilla
• Bonner Endodontic Center
• Bonnie Lee Braglia LPC-S,LMFT,Ccdvc
• Abigail Bonniwell, PA-C
• Shelley Kay Book
• Booker Hospital District (San Rafael Nursing and Rehabilitation Center)
• Martha Sue Boone, LVN

• Endodontics in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.