Active NPI
Alessandra Michele Bonasso, DDS
- Dentist
- Apex, NC
National Provider Identifier
1922521715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12318
- Practice address
- 463 Grand Highclere Way
Apex, NC 27523-9609 - Phone
- (304) 216-8657
- NPI assigned
- Jul 24, 2017
- Last updated
- Sep 11, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12318 | NC | Primary |
Addresses
Primary practice location
463 Grand Highclere Way
Apex, NC 27523-9609
Mailing address
2221 E Bijou St Ste 100
Colorado Springs, CO 80909-8009
Phone (719) 576-1850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12318 | Other | NC | DENTAL LICENSE |
Other names 1
- Alessandra Michele Pacilli
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 |
|---|---|---|---|
| 16471 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael G Pharris OD PC | Past | Accepting new patients | |
| Ronald B Montano DDS PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Adventure Dental and Vision
- General Practice Dentistry
- Baltimore, MD
- NPI 1629251228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1922521715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 E BIJOU ST STE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809098009",
"telephone_number": "719-576-1850",
"fax_number": "719-955-3470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463 GRAND HIGHCLERE WAY",
"city": "APEX",
"state": "NC",
"postal_code": "275239609",
"telephone_number": "304-216-8657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONASSO",
"first_name": "ALESSANDRA",
"middle_name": "MICHELE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-24",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "12318",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "12318",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALESSANDRA",
"last_name": "PACILLI",
"middle_name": "MICHELE",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Apex, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.