Active NPI
Taylor Bonnewitz
- General Practice Dentistry
- Catoosa, OK
National Provider Identifier
1679424055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8249
- Practice address
- 2036 S Miller LN Ste B
Catoosa, OK 74015-1539 - Phone
- (918) 937-7660
- NPI assigned
- Feb 3, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8249 | OK | Primary |
Addresses
Primary practice location
2036 S Miller LN Ste B
Catoosa, OK 74015-1539
Mailing address
2036 S Miller LN Ste B
Catoosa, OK 74015-1539
Phone (918) 937-7660
Other practice location 1
9999 S Mingo Rd Ste S
Tulsa, OK 74133-5172
Phone (918) 268-7394
Other practice location 2
117 W Delaware Ave
Nowata, OK 74048-2616
Phone (918) 818-3382
Other practice location 3
409 E Main St
Locust Grove, OK 74352-5116
Phone (918) 400-3614
Other practice location 4
13000 S Memorial Dr
Bixby, OK 74008-2523
Phone (918) 995-4897
Other practice location 5
137 Steve Barry Blvd
Pryor, OK 74361-6841
Phone (918) 771-9397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| STUDENT | OK | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1679424055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2036 S MILLER LN STE B",
"city": "CATOOSA",
"state": "OK",
"postal_code": "740151539",
"telephone_number": "918-937-7660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2036 S MILLER LN STE B",
"city": "CATOOSA",
"state": "OK",
"postal_code": "740151539",
"telephone_number": "918-937-7660"
}
],
"practiceLocations": [
{
"address_1": "9999 S Mingo Rd Ste S",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741335172",
"country_code": "US",
"telephone_number": "918-268-7394",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "117 W Delaware Ave",
"address_purpose": "LOCATION",
"city": "Nowata",
"state": "OK",
"postal_code": "740482616",
"country_code": "US",
"telephone_number": "918-818-3382",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "409 E Main St",
"address_purpose": "LOCATION",
"city": "Locust Grove",
"state": "OK",
"postal_code": "743525116",
"country_code": "US",
"telephone_number": "918-400-3614",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13000 S Memorial Dr",
"address_purpose": "LOCATION",
"city": "Bixby",
"state": "OK",
"postal_code": "740082523",
"country_code": "US",
"telephone_number": "918-995-4897",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "137 Steve Barry Blvd",
"address_purpose": "LOCATION",
"city": "Pryor",
"state": "OK",
"postal_code": "743616841",
"country_code": "US",
"telephone_number": "918-771-9397",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONNEWITZ",
"first_name": "TAYLOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-03",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "8249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Catoosa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.