DR. MARK TODD BONIN D.D.S.
NPI 1710191614
Dentist - General Practice in Houston, TX

Active since May 09, 2007Opted out of Medicare · through Aug 25, 2026
17222 RED OAK DR, SUITE 107, HOUSTON, TX 77090(281) 440-3530(281) 440-5580 Get Directions Write a Review

NPPES record last updated: March 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Todd Bonin D.d.s. NPPES

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

DR. MARK TODD BONIN D.D.S. (NPI 1710191614) is an individual general practice provider in Houston, Texas, licensed in Texas (15387) and active in the NPI registry since May 2007. He has opted out of Medicare through August 25, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1710191614
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK TODD BONINCredential: D.D.S.
Location Address17222 RED OAK DR, SUITE 107Houston, TX 77090-2648
Mailing Address17222 Red Oak Dr, Suite 107Houston, TX 77090-2648 · (281) 440-3530 · Fax (281) 440-5580
Fax(281) 440-5580
Sole ProprietorYes
Enumeration DateMay 9, 2007
Last NPPES UpdateMarch 11, 2008
NPI 1710191614 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 · 15387
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.
17222 RED OAK DR, Houston, TX 77090

Accepted Insurance

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. Mark Todd Bonin D.d.s. 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 August 25, 2016 through August 25, 2026.

Opt-Out Effective DateAugust 25, 2016
Opt-Out In Effect ThroughAugust 25, 2026Opt-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 77090 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 8

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

Dentist (General Practice)
17222 RED OAK DR
HOUSTON, TX 77090
Dentist (General Practice)
17222 RED OAK DR, SUITE 105
HOUSTON, TX 77090
Dentist (General Practice)
17222 RED OAK DR, SUITE 102
HOUSTON, TX 77090
Dentist (Pediatric Dentistry)
17222 RED OAK DR, SUITE 104
HOUSTON, TX 77090
Dentist
17222 RED OAK DR, STE 107
HOUSTON, TX 77090
Dentist (Pediatric Dentistry)
17222 RED OAK DR, SUITE 104
HOUSTON, TX 77090
Dentist (Pediatric Dentistry)
17222 RED OAK DR, SUITE #104
HOUSTON, TX 77090
Dentist
17222 RED OAK DR
HOUSTON, TX 77090

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 Mark Bonin's NPI number?

The NPI number for Mark Bonin is 1710191614. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Mark Bonin located?

Mark Bonin practices at 17222 Red Oak Dr Suite 107, Houston, TX 77090. The listed phone number is (281) 440-3530.

What is Mark Bonin's specialty?

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

Is Mark Bonin enrolled in Medicare?

No. Mark Bonin has opted out of Medicare through August 25, 2026. 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.

What insurance does Mark Bonin accept?

Health plans from Guardian list Mark Bonin 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 Mark Bonin was last updated on March 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.