DR. CHRISTOPHER E BONACCI D.D.S., M.D.
NPI 1609211325
Dentist - Oral and Maxillofacial Surgery in Vienna, VA

Q: What is Christopher Bonacci's NPI number?

The NPI number for Christopher Bonacci is 1609211325. It was assigned to this individual provider in the NPPES registry on May 8, 2013.

Q: What is Christopher Bonacci's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Christopher Bonacci enrolled in Medicare?

No. Christopher Bonacci has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since May 08, 2013Opted out of Medicare · through Jul 1, 2027

361 MAPLE AVE W, VIENNA, VA 22180(703) 255-9400(703) 255-4958 Get Directions Write a Review

NPPES record last updated: May 8, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Christopher E Bonacci D.d.s., M.d. NPPES

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

DR. CHRISTOPHER E BONACCI D.D.S., M.D. (NPI 1609211325) is an individual oral and maxillofacial surgery provider in Vienna, Virginia, licensed in Virginia (0401102631) and active in the NPI registry since May 2013. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1609211325

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. CHRISTOPHER E BONACCICredential: D.D.S., M.D.

Location Address361 MAPLE AVE WVienna, VA 22180-4304

Mailing Address361 Maple Avenue W.Vienna, VA 22180 · (703) 255-9400 · Fax (703) 255-4958

Phone(703) 255-9400

Fax(703) 255-4958

Sole ProprietorYes

Enumeration DateMay 8, 2013

✔ NPI 1609211325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in VA · 0401102631

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

361 MAPLE AVE W, Vienna, VA 22180

Open in Google Maps ↗

Other Identifiers 1

Medicare UPIN286159VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Christopher E Bonacci D.d.s., M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2013 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2013

Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22180 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

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 2

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

CHRISTOPHER E. BONACCI DDS MD PC

Clinic/Center (Oral and Maxillofacial Surgery)

361 MAPLE AVE W, SUITE 200
VIENNA, VA 22180

Fairfax County (703) 255-9400

DR. SANG YOON KIM DMD, MD

Oral & Maxillofacial Surgery

361 MAPLE AVE W, SUITE 200
VIENNA, VA 22180

Fairfax County (703) 255-9400

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 Christopher Bonacci's NPI number?

The NPI number for Christopher Bonacci is 1609211325. It was assigned to this individual provider in the NPPES registry on May 8, 2013.

Where is Christopher Bonacci located?

Christopher Bonacci practices at 361 Maple Ave W, Vienna, VA 22180. The listed phone number is (703) 255-9400.

What is Christopher Bonacci's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Christopher Bonacci enrolled in Medicare?

No. Christopher Bonacci has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Christopher Bonacci was last updated on May 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.