DIEGO BONILLA DDS
NPI 1275947228
Dentist - General Practice in San Antonio, TX

Q: What is Diego Bonilla's NPI number?

The NPI number for Diego Bonilla is 1275947228. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Q: What is Diego Bonilla's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Diego Bonilla was last updated on June 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 18, 2014PECOS Enrolled

5202 TEXANA DR APT 536, SAN ANTONIO, TX 78249(817) 937-1411 Get Directions Write a Review

NPPES record last updated: June 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Diego Bonilla Dds NPPES

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

DIEGO BONILLA DDS (NPI 1275947228) is an individual general practice provider in San Antonio, Texas, licensed in Texas (30022) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275947228

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDIEGO BONILLACredential: DDS

Location Address5202 TEXANA DR APT 536San Antonio, TX 78249-3793

Mailing Address5202 Texana Dr Apt 536San Antonio, TX 78249-3793 · (817) 937-1411

Phone(817) 937-1411

Sole ProprietorNo

Enumeration DateJune 18, 2014

✔ NPI 1275947228 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 · 30022

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.

5202 TEXANA DR APT 536, San Antonio, TX 78249

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama 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)

Diego Bonilla Dds 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 78249 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.

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 Diego Bonilla's NPI number?

The NPI number for Diego Bonilla is 1275947228. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Where is Diego Bonilla located?

Diego Bonilla practices at 5202 Texana Dr Apt 536, San Antonio, TX 78249. The listed phone number is (817) 937-1411.

What is Diego Bonilla's specialty?

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

Is Diego Bonilla enrolled in Medicare?

Yes. Diego Bonilla is registered in the Medicare PECOS enrollment system.

What insurance does Diego Bonilla accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Diego Bonilla 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 Diego Bonilla was last updated on June 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.