BONITA SONRISA DENTAL MSO
NPI 1790325884
Dentist - Dental Public Health in Bronx, NY
About Bonita Sonrisa Dental Mso NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BONITA SONRISA DENTAL MSO (NPI 1790325884) is a healthcare organization registered as a dental public health in Bronx, New York and active in the NPI registry since January 2020. The organization lists Alejandro Williams, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bonita Sonrisa Dental Mso is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Bonita Sonrisa Dental Mso, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (20)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Bonita Sonrisa Dental Mso's NPI number?
The NPI number for Bonita Sonrisa Dental Mso is 1790325884. It was assigned to this organization in the NPPES registry on January 7, 2020.
Where is Bonita Sonrisa Dental Mso located?
Bonita Sonrisa Dental Mso is located at 1624 Dr Martin L King Jr Blvd, Bronx, NY 10453. The listed phone number is (845) 793-4469.
What is Bonita Sonrisa Dental Mso's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.
Is Bonita Sonrisa Dental Mso enrolled in Medicare?
Yes. Bonita Sonrisa Dental Mso is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bonita Sonrisa Dental Mso?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 2 Medicare specialties reassign their Medicare billing to Bonita Sonrisa Dental Mso. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Oral Surgery (17) and Dentist (3). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bonita Sonrisa Dental Mso was last updated on November 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Bonita Sonrisa Dental Mso · NPI 1790325884
Dental Public Health organization in Bronx, New York. Organization record, active in the CMS NPPES registry since January 7, 2020.
## Identity
- **NPI:** 1790325884 (Entity type: Organization)
- **Enumerated:** January 7, 2020
- **Primary specialty:** Dentist - Dental Public Health · taxonomy 1223D0001X
- **Organization subpart:** No
- **Authorized official:** Alejandro Williams, PRESIDENT
## Practice location
- **Address:** 1624 DR MARTIN L KING JR BLVD, Bronx, NY 10453-6948
- **Phone:** (845) 793-4469 · **Fax:** (718) 450-8991
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Oral Surgery (17), Dentist (3); 10 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1790325884) · Data from the CMS NPPES public registry.