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DR. STEVEN ANTHONY BONOMO D.D.S.
NPI 1003997834
Dentist - General Practice in Wilkes Barre, PA

Active since October 18, 2006Opted out of Medicare · through Jul 21, 2027
369 S MAIN ST, WILKES BARRE, PA 18701(570) 829-7863(570) 822-7478 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Steven Anthony Bonomo D.d.s. NPPES

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

DR. STEVEN ANTHONY BONOMO D.D.S. (NPI 1003997834) is an individual general practice provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (DS 030178 L) and active in the NPI registry since October 2006. He has opted out of Medicare through July 21, 2027.

NPPES Registry Identity

NPI1003997834
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. STEVEN ANTHONY BONOMOCredential: D.D.S.
Location Address369 S MAIN STWilkes Barre, PA 18701-2202
Mailing Address369 S Main StWilkes Barre, PA 18701-2202 · (570) 829-7863 · Fax (570) 822-7478
Phone(570) 829-7863
Fax(570) 822-7478
Sole ProprietorYes
Enumeration DateOctober 18, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1003997834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS 030178 L
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
369 S MAIN ST, Wilkes Barre, PA 18701
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Other Identifiers 1

Medicaid00016528190002PA

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Steven Anthony Bonomo D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 21, 2021 through July 21, 2027.

Opt-Out Effective DateJuly 21, 2021
Opt-Out In Effect ThroughJuly 21, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Steven Bonomo's NPI number?

The NPI number for Steven Bonomo is 1003997834. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Steven Bonomo located?

Steven Bonomo practices at 369 S Main St, Wilkes Barre, PA 18701. The listed phone number is (570) 829-7863.

What is Steven Bonomo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Steven Bonomo enrolled in Medicare?

No. Steven Bonomo has opted out of Medicare through July 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Steven Bonomo accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 1 other insurer list Steven Bonomo 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 Steven Bonomo was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.