1. Home
  2. Directory
  3. Texas
  4. San Antonio
  5. Dentist
  6. NPI Profile

DR. KELLY A BUONICONTI D.M.D.
NPI 1164880787
Dentist in San Antonio, TX

Active since February 10, 2016PECOS Enrolled
26112 OVERLOOK PKWY, STE 1108, SAN ANTONIO, TX 78260(210) 293-0810 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kelly A Buoniconti D.m.d. NPPES

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

DR. KELLY A BUONICONTI D.M.D. (NPI 1164880787) is an individual dentist in San Antonio, Texas, licensed in Texas (31847) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164880787
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KELLY A BUONICONTICredential: D.M.D.
Location Address26112 OVERLOOK PKWY, STE 1108San Antonio, TX 78260-6051
Mailing Address4416 N Moody AveChicago, IL 60630-3007 · (773) 580-9827
Phone(210) 293-0810
Sole ProprietorYes
Enumeration DateFebruary 10, 2016
Last NPPES UpdateJune 7, 2016
✔ NPI 1164880787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 31847
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RES.3571 (OH)
26112 OVERLOOK PKWY, San Antonio, TX 78260
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. Kelly A Buoniconti D.m.d. 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 78260 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 2

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

KYU MEE YO DMD
Dentist
26112 OVERLOOK PKWY, SUITE 1108
SAN ANTONIO, TX 78260
Bexar County (210) 293-0809
LEMON TREE DENTAL - CANYON GOLF, PLLC
Dentist (General Practice)
26112 OVERLOOK PKWY, STE. 1108
SAN ANTONIO, TX 78260
Bexar County (210) 520-3400

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 Kelly Buoniconti's NPI number?

The NPI number for Kelly Buoniconti is 1164880787. It was assigned to this individual provider in the NPPES registry on February 10, 2016.

Where is Kelly Buoniconti located?

Kelly Buoniconti practices at 26112 Overlook Pkwy Ste 1108, San Antonio, TX 78260. The listed phone number is (210) 293-0810.

What is Kelly Buoniconti's specialty?

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

Is Kelly Buoniconti enrolled in Medicare?

Yes. Kelly Buoniconti is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Buoniconti accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 16 other insurers list Kelly Buoniconti 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 Kelly Buoniconti was last updated on June 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.