NPIMap

Organization Active NPI

Bonita Endodontic Associates, PLLC

Doing business as Bonita Endodontics

  • Endodontics
  • Bonita Springs, FL
National Provider Identifier
1801595210
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
BONITA ENDODONTIC ASSOCIATES, PLLC
Doing business as
Bonita Endodontics
Practice address
8899 Timberwilde Dr Ste 3
Bonita Springs, FL 34135-7896
Phone
(239) 498-7668
Fax
(239) 498-7630
NPI assigned
Feb 24, 2023
Last updated
Feb 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Dr. Nathan C. Dewsnup, DMD, MSNPI 1215135793
Title
Member
Phone
(239) 498-7668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NU Primary

Addresses

Primary practice location

8899 Timberwilde Dr Ste 3
Bonita Springs, FL 34135-7896

Mailing address

8899 Timberwilde Dr Ste 3
Bonita Springs, FL 34135-7896
Phone (239) 498-7668

Other identifiers 4

IdentifierTypeStateIssuer
DN21501OtherFLFLORIDA BOARD OF DENTISTRY
DN22368OtherFLFLORIDA BOARD OF DENTISTRY
DN27423OtherFLFLORIDA BOARD OF DENTISTRY
DN16186OtherFLFLORIDA BOARD OF DENTISTRY

Other names 1

  • Bonita Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

8899 Timberwilde Dr
Ste 3
Bonita Springs, FL 34135
Phone (239) 498-7668

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1801595210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8899 TIMBERWILDE DR STE 3",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357896",
            "telephone_number": "239-498-7668",
            "fax_number": "239-498-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8899 TIMBERWILDE DR STE 3",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357896",
            "telephone_number": "239-498-7668",
            "fax_number": "239-498-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA ENDODONTIC ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "DEWSNUP",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "239-498-7668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF DENTISTRY",
            "identifier": "DN21501",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF DENTISTRY",
            "identifier": "DN22368",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF DENTISTRY",
            "identifier": "DN27423",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF DENTISTRY",
            "identifier": "DN16186",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonita Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.