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ELESA BOCKENFELD D.D.S.
NPI 1447508379
Dentist - Pediatric Dentistry in Dallas, TX

Active since August 27, 2012PECOS Enrolled
3904 COLGATE AVE, DALLAS, TX 75225(214) 702-1451 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 18, 2018, Feb 29, 2016 (2 updates tracked since 2016).

About Elesa Bockenfeld D.d.s. NPPES

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

ELESA BOCKENFELD D.D.S. (NPI 1447508379) is an individual pediatric dentistry provider in Dallas, Texas, licensed in Texas (28382) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447508379
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameELESA BOCKENFELDCredential: D.D.S.
Location Address3904 COLGATE AVEDallas, TX 75225-5423
Mailing Address3429 Westminster Ave, # 4Dallas, TX 75205-5601 · (214) 702-1451
Phone(214) 702-1451
Sole ProprietorYes
Enumeration DateAugust 27, 2012
Last NPPES UpdateSeptember 18, 20182 updates tracked since enumeration
✔ NPI 1447508379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in TX · 28382
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.
Also ListedDentistTaxonomy 122300000X · License 28382 (TX)
3904 COLGATE AVE, Dallas, TX 75225
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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)

Elesa Bockenfeld 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 75225 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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 Elesa Bockenfeld's NPI number?

The NPI number for Elesa Bockenfeld is 1447508379. It was assigned to this individual provider in the NPPES registry on August 27, 2012.

Where is Elesa Bockenfeld located?

Elesa Bockenfeld practices at 3904 Colgate Ave, Dallas, TX 75225. The listed phone number is (214) 702-1451.

What is Elesa Bockenfeld's specialty?

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

Is Elesa Bockenfeld enrolled in Medicare?

Yes. Elesa Bockenfeld is registered in the Medicare PECOS enrollment system.

What insurance does Elesa Bockenfeld accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 17 other insurers list Elesa Bockenfeld 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 Elesa Bockenfeld was last updated on September 18, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.