DR. DIANE MARIE BONANNI DMD
NPI 1174606669
Dentist - General Practice in Stoneham, MA

Active since October 20, 2006PECOS Enrolled
TWO MAIN STREET, SUITE 210, STONEHAM, MA 02180(781) 438-7900(781) 481-0279 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Diane Marie Bonanni Dmd NPPES

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

DR. DIANE MARIE BONANNI DMD (NPI 1174606669) is an individual general practice provider in Stoneham, Massachusetts, licensed in Massachusetts (17169) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174606669
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DIANE MARIE BONANNICredential: DMD
Location AddressTWO MAIN STREET, SUITE 210Stoneham, MA 02180
Mailing AddressTwo Main Street Suite 210, Suite 210Stoneham, MA 02180 · (781) 438-7900 · Fax (781) 481-0279
Fax(781) 481-0279
Sole ProprietorNo
Enumeration DateOctober 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174606669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MA · 17169
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.
TWO MAIN STREET, Stoneham, MA 02180

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)

Dr. Diane Marie Bonanni Dmd 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 02180 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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 Diane Bonanni's NPI number?

The NPI number for Diane Bonanni is 1174606669. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Diane Bonanni located?

Diane Bonanni practices at Two Main Street Suite 210, Stoneham, MA 02180. The listed phone number is (781) 438-7900.

What is Diane Bonanni's specialty?

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

Is Diane Bonanni enrolled in Medicare?

Yes. Diane Bonanni is registered in the Medicare PECOS enrollment system.

What insurance does Diane Bonanni accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Diane Bonanni 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 Diane Bonanni was last updated on July 8, 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.