JONATHAN BOLESTA DMD
NPI 1164616405
Dentist - Orthodontics and Dentofacial Orthopedics in Glendale, AZ
About Jonathan Bolesta Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN BOLESTA DMD (NPI 1164616405) is an individual orthodontics and dentofacial orthopedics provider in Glendale, Arizona, licensed in Arizona (7387) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted 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)
Jonathan Bolesta Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GLENDALE, AZ 85308
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 Jonathan Bolesta's NPI number?
The NPI number for Jonathan Bolesta is 1164616405. It was assigned to this individual provider in the NPPES registry on August 29, 2007.
Where is Jonathan Bolesta located?
Jonathan Bolesta practices at 5940 W Union Hills Dr B190, Glendale, AZ 85308. The listed phone number is (623) 455-5717.
What is Jonathan Bolesta's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.
Is Jonathan Bolesta enrolled in Medicare?
Yes. Jonathan Bolesta is registered in the Medicare PECOS enrollment system.
What insurance does Jonathan Bolesta accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Jonathan Bolesta 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 Jonathan Bolesta was last updated on February 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.