Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BONITA ANN WYNKOOP D.D.S.
NPI 1265429286
Dentist - General Practice in Nassau Bay, TX

Active since October 04, 2005PECOS Enrolled
2200 SPACE PARK DR, #300, NASSAU BAY, TX 77058(281) 333-3406(281) 333-3442 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Bonita Ann Wynkoop D.d.s. NPPES

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

DR. BONITA ANN WYNKOOP D.D.S. (NPI 1265429286) is an individual general practice provider in Nassau Bay, Texas, licensed in Texas (16947) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265429286
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BONITA ANN WYNKOOPCredential: D.D.S.
Location Address2200 SPACE PARK DR, #300Nassau Bay, TX 77058-3677
Mailing Address2200 Space Park Dr, #300Nassau Bay, TX 77058-3677 · (281) 333-3406 · Fax (281) 333-3442
Fax(281) 333-3442
Sole ProprietorNo
Enumeration DateOctober 4, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1265429286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 16947
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.
2200 SPACE PARK DR, Nassau Bay, TX 77058

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. Bonita Ann Wynkoop 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 77058 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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 3

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

Counselor (Mental Health)
2200 SPACE PARK DR
HOUSTON, TX 77058
Dentist
2200 SPACE PARK DR, SUITE 300
HOUSTON, TX 77058
Dentist
2200 SPACE PARK DR, STE 208
HOUSTON, TX 77058

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 Bonita Wynkoop's NPI number?

The NPI number for Bonita Wynkoop is 1265429286. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Bonita Wynkoop located?

Bonita Wynkoop practices at 2200 Space Park Dr #300, Nassau Bay, TX 77058. The listed phone number is (281) 333-3406.

What is Bonita Wynkoop's specialty?

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

Is Bonita Wynkoop enrolled in Medicare?

Yes. Bonita Wynkoop is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bonita Wynkoop was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.