Individual provider Active NPI

Carly Elizabeth Bonnette, DDS

  • General Practice Dentistry
  • Cleveland, TX
National Provider Identifier
1932830767
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42048 Issued in TX
Practice address
205 E Houston St
Cleveland, TX 77327-4511
Phone
(281) 592-1234
NPI assigned
Jun 22, 2022
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7298 LA
General Practice Dentistry 1223G0001X 42048 TX Primary

Addresses

Primary practice location

205 E Houston St
Cleveland, TX 77327-4511

Mailing address

205 E Houston St
Cleveland, TX 77327-4511
Phone (281) 592-1234

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

LicenseStateTypeSpecialty
7298LAMDDentist
42048TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Susan E Lunson PastSince Sep 28, 2021 Accepting new patients
Ross H Dies DDS and J Cody Cowen DDS a Dental LLC PastSince Jun 26, 2022 Accepting new patients
Zach Stephens DDS PLLC General Practice PastSince Nov 9, 2021 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1932830767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E HOUSTON ST",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274511",
            "telephone_number": "281-592-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E HOUSTON ST",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274511",
            "telephone_number": "281-592-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNETTE",
        "first_name": "CARLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "7298",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "42048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.