DR. BONAVENTURE CHISOM NWOKOCHA D.D.S
NPI 1194018374
Dentist - General Practice in Brooklyn Park, MN

Active since May 22, 2011PECOS Enrolled
7960 BROOKLYN BLVD, BROOKLYN PARK, MN 55445(763) 710-9937(763) 710-9968 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2020, Aug 28, 2020 (2 updates tracked since 2020).

About Dr. Bonaventure Chisom Nwokocha D.d.s NPPES

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

DR. BONAVENTURE CHISOM NWOKOCHA D.D.S (NPI 1194018374) is an individual general practice provider in Brooklyn Park, Minnesota, licensed in Minnesota (D12960) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Cloud.

NPPES Registry Identity

NPI1194018374
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BONAVENTURE CHISOM NWOKOCHACredential: D.D.S
Location Address7960 BROOKLYN BLVDBrooklyn Park, MN 55445-2722
Mailing Address16420 57th Ave NPlymouth, MN 55446-3728 · (618) 593-2130
Fax(763) 710-9968
Sole ProprietorYes
Enumeration DateMay 22, 2011
Last NPPES UpdateSeptember 9, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2020
NPI 1194018374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MN · D12960
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.
7960 BROOKLYN BLVD, Brooklyn Park, MN 55445

Secondary Practice Location 1

Location 14128 2nd St SSaint Cloud, MN 56301-3704 · Phone (320) 774-2557

Other Identifiers 2

Medicaid1356749659MN
Medicaid1174913339MN

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. Bonaventure Chisom Nwokocha D.d.s 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 55445 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 5

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

Point of Service
7960 BROOKLYN BLVD
BROOKLYN PARK, MN 55445
Dentist (General Practice)
7960 BROOKLYN BLVD
BROOKLYN PARK, MN 55445
Dentist
7960 BROOKLYN BLVD
BROOKLYN PARK, MN 55445
Dentist
7960 BROOKLYN BLVD
BROOKLYN PARK, MN 55445
Dentist
7960 BROOKLYN BLVD
BROOKLYN PARK, MN 55445

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 Bonaventure Nwokocha's NPI number?

The NPI number for Bonaventure Nwokocha is 1194018374. It was assigned to this individual provider in the NPPES registry on May 22, 2011.

Where is Bonaventure Nwokocha located?

Bonaventure Nwokocha practices at 7960 Brooklyn Blvd, Brooklyn Park, MN 55445. The listed phone number is (763) 710-9937.

What is Bonaventure Nwokocha's specialty?

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

Is Bonaventure Nwokocha enrolled in Medicare?

Yes. Bonaventure Nwokocha is registered in the Medicare PECOS enrollment system.

What insurance does Bonaventure Nwokocha 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 Humana list Bonaventure Nwokocha 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 Bonaventure Nwokocha was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.