DR. TREVOR S BONILLA (NPI# 1992929665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992929665 |
| Entity Type | Individual |
| Full Name | DR. TREVOR S BONILLA |
| Credential | D.D.S., M.S. |
| Practice Address |
760 N Denton Tap Rd Suite 110 Coppell TX 75019-2163 |
| Mailing Address |
4185 Sicily Dr Frisco TX 75034-6660 |
| Practice Telephone | 9724596800 |
| Mailing Telephone | 9729875587 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2010-11-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
19752 | TX | Dental Providers |
| Street Address |
760 N DENTON TAP RD SUITE 110 |
| City | COPPELL |
| State | TX |
| Zip Code | 75019-2163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265433650 | Darletta Joan Kincaid | Pediatrics | 760 N Denton Tap Rd, Suite 130, Coppell, TX 75019-2163 | 2005-08-09 |
| 1730469354 | Prachi Deore P.a. | Dentist | 760 N Denton Tap Rd, #190, Coppell, TX 75019-2163 | 2011-08-26 |
| 1063659738 | Melinda Parker-troutman | Dentist | 760 N Denton Tap Rd, Suite 190, Coppell, TX 75019-2163 | 2009-01-16 |
| 1013922731 | Md Pediatric Associates, P.a. | Nurse Practitioner | 760 N Denton Tap Rd, Suite 130, Coppell, TX 75019-2163 | 2006-07-30 |
| 1720080138 | Kim Renae Mowery | Nurse Practitioner | 760 N Denton Tap Rd, Suite 130, Coppell, TX 75019-2163 | 2005-08-15 |
| 1114929510 | Beline Marie Boyle | Nurse Practitioner | 760 N Denton Tap Rd, Suite 130, Coppell, TX 75019-2163 | 2005-08-15 |
| 1346241528 | Mark Walker Holt | Pediatrics | 760 N Denton Tap Rd, Suite 130, Coppell, TX 75019-2163 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065997 | Siai, Pllc | Pain Medicine | 149 E State Highway 121, Suite 105, Coppell, TX 75019 | 2020-05-18 |
| 1609498146 | Carie Medical Group (de), P.a. | Internal Medicine | 8951 Cypress Waters Blvd., Suite 160-1045, Dallas, TX 75019 | 2020-05-07 |
| 1154981983 | Coe Dentistry Pllc | Dentist | 137 Sh 121, Ste 110, Coppell, TX 75019 | 2019-06-14 |
| 1831655695 | Nicole Erhart | Physical Therapist | 3100 Olympus Blvd, Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140467 | Leah Faith Fifelski | Physical Therapist | 3100 Olympus Blvd. Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140988 | Living Euphoria, LLC | Community/Behavioral Health | 106 N Denton Tap Rd Ste 210 #151, Coppell, TX 75019 | 2019-02-13 |
| 1982176954 | Katie Cunningham | Physical Therapist | 3100 Olympus Blvd Ste 500, Coppell, TX 75019 | 2019-01-01 |
| 1659853000 | Shelley Kniss | Licensed Vocational Nurse | 1717 E Beltline Rd Apt 1323, Coppell, TX 75019 | 2018-09-02 |
| 1881197705 | Natasha Paulina Boylan | Speech-Language Pathologist | 370 W Highway 121, Ste. 105, Coppell, TX 75019 | 2018-03-16 |
| 1407354392 | Mahvash Roya Soltani | Nurse Practitioner | 1323 Barrington Dr., Coppell, TX 75019 | 2018-01-25 |
| Find all providers in zip 75019 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386986289 | Luke Stephen Bailey | Dentist | 495 S Denton Tap Rd, Coppell, TX 75019-3202 | 2013-03-19 |
| 1700945888 | Anabella Henao-aldrey | Dentist | 225 E State Highway 121 # 100, Coppell, TX 75019-2005 | 2006-12-06 |
| 1154728053 | Luke Bailey Dds Msd Pllc | Dentist | 495 S Denton Tap Rd, Coppell, TX 75019-3202 | 2014-11-21 |
| 1003155011 | Benjamin John Martin | Dentist | 220 S Denton Tap Rd, Suite 203, Coppell, TX 75019-5038 | 2013-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989992 | Maxwell Oldham | Dentist | 115 Kohlers Xing Ste 350, Kyle, TX 78640-2467 | 2020-10-10 |
| 1154928943 | Amanda Gerlach | Dentist | 3550 Hulen St Ste C, Fort Worth, TX 76107-6885 | 2020-10-05 |
| 1700496411 | Farhana Rahman | Dentist | 398 E Pipeline Rd, Hurst, TX 76053-5831 | 2020-08-06 |
| 1093324675 | Frisco Braces Pllc | Dentist | 5285 Dallas Pkwy Ste 500, Frisco, TX 75034-9634 | 2020-07-29 |
| 1316556061 | Prosper Braces Pllc | Dentist | 821 N Coleman St Ste 110, Prosper, TX 75078-2305 | 2020-07-29 |
| 1871118133 | Tardy Orthodontics PC | Dentist | 8805 North Tarrant Parkway, Suite 200, North Richland Hills, TX 76182 | 2020-06-12 |
| 1285256636 | Bear Dental Corp | Dentist | 210 N. Coit Rd., Mckinney, TX 75071 | 2020-05-08 |
| 1275155665 | Joanna Song | Dentist | 2540 Fm 2920 Rd Ste H, Spring, TX 77388-3672 | 2020-05-08 |
| 1477175917 | Meredith Ann Williams | Dentist | 5215 Fm 1463 Rd Ste 700, Katy, TX 77494-7437 | 2020-05-06 |
| 1740809003 | Boss Orthodontics, Pllc | Dentist | 15801 W Hwy 71 Ste 600, Bee Cave, TX 78738-2709 | 2020-04-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.