Bonita Sonrisa Dental Ipa - Medicare Dental Clinic in Bronx, NY

Bonita Sonrisa Dental Ipa is a medicare enrolled dental clinic (Dentist - Dental Public Health) in Bronx, New York. The current practice location for Bonita Sonrisa Dental Ipa is 1624 Dr Martin L King Jr Blvd, Bronx, New York. For appointments, you can reach them via phone at (845) 793-4469. The mailing address for Bonita Sonrisa Dental Ipa is 1624 University Ave Bsmt, Bronx, New York and phone number is (718) 294-3725.

Bonita Sonrisa Dental Ipa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1700343233. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (845) 793-4469.

Contact Information

Bonita Sonrisa Dental Ipa
1624 Dr Martin L King Jr Blvd
Bronx
NY 10453-6948
(845) 793-4469
(718) 450-8991

Map and Direction


Dental Care Clinic Profile

Full NameBonita Sonrisa Dental Ipa
SpecialityDentist
Location1624 Dr Martin L King Jr Blvd, Bronx, New York
Authorized Official Name and PositionAlejandro Williams (PRESIDENT/OWNER)
Authorized Official Contact9173353722
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bonita Sonrisa Dental Ipa
1624 University Ave Bsmt
Bronx
NY 10453-6948

Ph: (718) 294-3725
Bonita Sonrisa Dental Ipa
1624 Dr Martin L King Jr Blvd
Bronx
NY 10453-6948

Ph: (845) 793-4469

NPI Details:

NPI Number1700343233
Provider Enumeration Date02/20/2019
Last Update Date02/28/2024

Medicare PECOS Information:

Medicare PECOS PAC ID2567846959
Medicare Enrollment IDO20220902001793

Medical Identifiers

Medical identifiers for Bonita Sonrisa Dental Ipa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700343233NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223D0001XDentist - Dental Public Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bonita Sonrisa Dental Ipa acts as a billing entity for following providers:
Provider NameBurt F Harvey
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1578580361
PECOS PAC ID: 5890754667
Enrollment ID: I20041007000217
Provider NameAlejandro Leonel Williams
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1073502217
PECOS PAC ID: 7911385612
Enrollment ID: I20220609000098
Provider NameFeliciano A Espaillat
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1659547701
PECOS PAC ID: 8921489857
Enrollment ID: I20220722002075
Provider NameChristian Santana
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1104037613
PECOS PAC ID: 7416339635
Enrollment ID: I20220804003120
Provider NameJuan Pablo Collado
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1952390015
PECOS PAC ID: 2961885678
Enrollment ID: I20220812002229
Provider NameEva Lebron
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1497882716
PECOS PAC ID: 3678956380
Enrollment ID: I20220812002317
Provider NameObianuju Okeke
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1730703265
PECOS PAC ID: 4385028117
Enrollment ID: I20220829001487
Provider NameJuan Solano
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1548337967
PECOS PAC ID: 4183092745
Enrollment ID: I20221201003011
Provider NameJuan Bautista Espaillat
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1194715425
PECOS PAC ID: 5991174062
Enrollment ID: I20221212002250
Provider NameJohn Finelli
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1437472792
PECOS PAC ID: 8325329063
Enrollment ID: I20221213000272
Provider NameEnrique Ficy Guillen
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1932374121
PECOS PAC ID: 5496125791
Enrollment ID: I20230103000427
Provider NameJose E Santana
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1942344411
PECOS PAC ID: 7113398678
Enrollment ID: I20230119001477
Provider NameNancy Mercedes Jimenez
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1124179452
PECOS PAC ID: 1658743505
Enrollment ID: I20230202001917
Provider NameMarina Podlubny
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1023280690
PECOS PAC ID: 0547571820
Enrollment ID: I20230301000653
Provider NameFernando Leon
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1093840712
PECOS PAC ID: 1052784170
Enrollment ID: I20230310000043
Provider NameCarlos Acosta
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1831412865
PECOS PAC ID: 8123386380
Enrollment ID: I20230315001668
Provider NameManuel Galan
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1619054947
PECOS PAC ID: 6406153204
Enrollment ID: I20230316001469
Provider NameHector Bernabe
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1104815406
PECOS PAC ID: 2668778127
Enrollment ID: I20230605000457
Provider NameYandresco Quintana
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1114187762
PECOS PAC ID: 7517286156
Enrollment ID: I20230619001177
Provider NameHanna Hyun Kim
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1508333089
PECOS PAC ID: 8729439104
Enrollment ID: I20240110002067

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.