Active NPI
Michael Zingalis, DDS
- General Practice Dentistry
- Conroe, TX
National Provider Identifier
1093748030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 20258
- Practice address
- 2255 N Loop 336 W Ste C
Conroe, TX 77304-3632 - Phone
- (936) 539-9400
- NPI assigned
- Jul 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20258 | TX | Primary |
Addresses
Primary practice location
2255 N Loop 336 W Ste C
Conroe, TX 77304-3632
Mailing address
17411 Galloway Forest Dr
Richmond, TX 77407-1951
Phone (210) 842-1143
Other practice location 1
2250 Thousand Oaks Dr Ste 120
San Antonio, TX 78232-3968
Phone (210) 314-6635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20258 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atwood and Oliver Dental Partnership | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Conroe, TX
- NPI 1255638243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539993600000",
"number": "1093748030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17411 GALLOWAY FOREST DR",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774071951",
"telephone_number": "210-842-1143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 N LOOP 336 W STE C",
"city": "CONROE",
"state": "TX",
"postal_code": "773043632",
"telephone_number": "936-539-9400"
}
],
"practiceLocations": [
{
"address_1": "2250 Thousand Oaks Dr Ste 120",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782323968",
"country_code": "US",
"telephone_number": "210-314-6635",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZINGALIS",
"first_name": "MICHAEL",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2018-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "20258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.