DR. DOMINIQUE BONNER DDS
NPI 1003270612
Dentist in Fairfax, VA

Q: What is Dominique Bonner's NPI number?

The NPI number for Dominique Bonner is 1003270612. It was assigned to this individual provider in the NPPES registry on April 9, 2016. The provider is also known as Dr. Dominique Knox Dds.

Q: What is Dominique Bonner's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Dominique Bonner was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 09, 2016PECOS Enrolled

9547A FAIRFAX BLVD, FAIRFAX, VA 22031(703) 520-9985 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2022, May 13, 2019, Jun 11, 2018 and 1 more (4 updates tracked since 2018).

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About Dr. Dominique Bonner Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOMINIQUE BONNER DDS (NPI 1003270612) is an individual dentist in Fairfax, Virginia, licensed in Virginia (0401415681) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1003270612

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. DOMINIQUE BONNERCredential: DDS

Location Address9547A FAIRFAX BLVDFairfax, VA 22031-4740

Mailing Address9547a Fairfax BlvdFairfax, VA 22031-4740 · (703) 520-9985

Phone(703) 520-9985

Sole ProprietorNo

Enumeration DateApril 9, 2016

Last NPPES UpdateJuly 25, 20224 updates tracked since enumeration

NPPES CertifiedJuly 25, 2022

✔ NPI 1003270612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in VA · 0401415681✔ Licensed in MD · 16313

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 16313 (MD)

9547A FAIRFAX BLVD, Fairfax, VA 22031

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Other Names 1

Former Name (1)Dr. Dominique Knox Dds

Secondary Practice Locations 3

Location 183 High StWaldorf, MD 20602-2190 · Phone (301) 645-3601

Location 25805 Silver Hill RdDistrict Heights, MD 20747-1170 · Phone (301) 568-8444

Location 31201 S Capitol St SW Ste BWashington, DC 20003-3529 · Phone (202) 621-8446

Other Identifiers 3

Other0401415681VA · Va Dental License #

Other16313MD · Md Dental License #

Other019031088IL · Il Dental License #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dominique Bonner Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEIBAUER DENTAL CARE, PC

Dentist (General Practice)

9547A FAIRFAX BLVD
FAIRFAX, VA 22031

Fairfax County (703) 359-2879

JOHNSON AND KNOX DENTCARE ASSOCIATES

Dentist (General Practice)

9547A FAIRFAX BLVD
FAIRFAX, VA 22031

Fairfax County (571) 354-0849

DR. VINAYAK PUNDLIK PATIL DDS

Dentist (General Practice)

9547A FAIRFAX BLVD
FAIRFAX, VA 22031

Fairfax County (703) 359-2879

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Bonner's NPI number?

The NPI number for Dominique Bonner is 1003270612. It was assigned to this individual provider in the NPPES registry on April 9, 2016. The provider is also known as Dr. Dominique Knox Dds.

Where is Dominique Bonner located?

Dominique Bonner practices at 9547A Fairfax Blvd, Fairfax, VA 22031. The listed phone number is (703) 520-9985.

What is Dominique Bonner's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Dominique Bonner enrolled in Medicare?

Yes. Dominique Bonner is registered in the Medicare PECOS enrollment system.

What insurance does Dominique Bonner accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Dominique Bonner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dominique Bonner was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.