Jonathan Bolesta, DMD
NPI 1164616405 · Orthodontics and Dentofacial Orthopedics Dentistry · Glendale, AZ
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jonathan Bolesta, DMD is a Orthodontics and Dentofacial Orthopedics Dentistry provider in Glendale, AZ (NPI 1164616405).
Provider details
- NPI number
- 1164616405
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 7387 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
18 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,388 across 8 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-08-29
- Last updated
- 2011-02-21
Frequently asked questions
- What is Jonathan Bolesta's NPI number?
- Jonathan Bolesta's National Provider Identifier (NPI) is 1164616405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonathan Bolesta's specialty?
- Jonathan Bolesta is listed in the NPPES registry with a primary specialty of Orthodontics and Dentofacial Orthopedics Dentistry (Dental Providers).
- Where is Jonathan Bolesta located?
- Jonathan Bolesta's practice location on file with NPPES is 5940 W Union Hills Dr, Glendale, AZ 85308-1308.
- What is Jonathan Bolesta's phone number?
- The practice phone number listed in the NPPES registry for Jonathan Bolesta is (623) 455-5717.
- Does Jonathan Bolesta accept Medicare?
- Jonathan Bolesta is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jonathan Bolesta's NPI active?
- Yes — Jonathan Bolesta's NPI (1164616405) is active in the NPPES registry as of the last update on 2011-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.