CHRISTOPHER E. BONACCI DDS MD PC
NPI 1720006661
Clinic/Center - Oral and Maxillofacial Surgery in Vienna, VA

NPI Status: Active since July 18, 2006

Contact Information

361 MAPLE AVE W
SUITE 200
VIENNA, VA
ZIP 22180
Phone: (703) 255-9400

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  • Organization
  • Clinic/Center
  • Oral and Maxillofacial Surgery

About CHRISTOPHER E. BONACCI DDS MD PC

This page provides the complete NPI Profile along with additional information for Christopher E. Bonacci Dds Md Pc, a provider established in Vienna, Virginia operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1720006661 assigned on July 2006. The practitioner's primary taxonomy code is 261QS0112X with license number 0101057525 (VA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. Christopher Eugene Bonacci Dds Md (President)

NPI
1720006661
Provider Name
CHRISTOPHER E. BONACCI DDS MD PC
Entity Type
Organization
Location Address
361 MAPLE AVE W SUITE 200 VIENNA, VA 22180
Location Phone
(703) 255-9400
Mailing Address
361 MAPLE AVE W SUITE 200 VIENNA, VA 22180
Mailing Phone
(703) 255-9400
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-18-2006
Last Update Date
09-23-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Oral and Maxillofacial Surgery

Taxonomy Code
261QS0112X
Type
Ambulatory Health Care Facilities
License No.
0101057525
License State
VA
Taxonomy Description
An oral and maxillofacial surgery clinic or center 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QS0112XAmbulatory Health Care Facilities

Clinic/Center
Oral and Maxillofacial Surgery

0401102631 (VA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CHRISTOPHER EUGENE BONACCI DDS MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(703) 255-9400

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
286159MEDICARE UPIN (02)VA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720006661
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27400012612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 0 + 0 + 1 + 2 + 6 + 1 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1720006661 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992826333DR. SANG YOON KIM DMD, MD
Individual
Oral & Maxillofacial Surgery361 MAPLE AVE W SUITE 200
VIENNA, VA 22180
(703) 255-9400
1609211325DR. CHRISTOPHER E BONACCI D.D.S., M.D.
Individual
Dentist (Oral and Maxillofacial Surgery)361 MAPLE AVE W
VIENNA, VA 22180
(703) 255-9400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720006661, enumerated in the NPI registry as an "organization" on July 18, 2006

The provider is located at 361 Maple Ave W Suite 200 Vienna, Va 22180 and the phone number is (703) 255-9400

This medical organization specializes in Clinic/Center with taxonomy code 261QS0112X with a focus in Oral and Maxillofacial Surgery

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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