Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NICHOLAS BONDRA DDS
NPI 1417886375
Dentist - Pediatric Dentistry in Philadelphia, PA

Q: What is Nicholas Bondra's NPI number?

The NPI number for Nicholas Bondra is 1417886375. It was assigned to this individual provider in the NPPES registry on May 18, 2026.

Q: What is Nicholas Bondra's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Bondra was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 May 18, 2026PECOS Enrolled

2301 E ALLEGHENY AVE FL 2, PHILADELPHIA, PA 19134(215) 282-8000 Get Directions Write a Review

NPPES record added: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicholas Bondra Dds NPPES

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

NICHOLAS BONDRA DDS (NPI 1417886375) is an individual pediatric dentistry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS045675) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417886375

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameNICHOLAS BONDRACredential: DDS

Location Address2301 E ALLEGHENY AVE FL 2Philadelphia, PA 19134-4427

Mailing Address372 Carriage Park WayAnnapolis, MD 21401-7709

Phone(215) 282-8000

Sole ProprietorYes

Enumeration DateMay 18, 2026

NPPES CertifiedMay 17, 2026

✔ NPI 1417886375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in PA · DS045675

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2301 E ALLEGHENY AVE FL 2, Philadelphia, PA 19134

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Bondra 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 19134 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

Other Providers at the Same Location NPPES 9

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

DR. MARIA BENDER DMD

Dentist (Pediatric Dentistry)