Organization Active NPI

Zoo Dental of Edinburg PLLC

  • General Practice Dentistry
  • Edinburg, TX
National Provider Identifier
1245666916
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23727 Issued in TX
Legal business name
ZOO DENTAL OF EDINBURG PLLC
Practice address
1122 S Closner Blvd
Edinburg, TX 78539-5662
Phone
(956) 380-0070
Fax
(956) 380-0090
NPI assigned
Sep 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Sergey V Bondar, DDS
Title
President
Phone
(956) 380-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 23727 TX Primary

Addresses

Primary practice location

1122 S Closner Blvd
Edinburg, TX 78539-5662

Mailing address

1156 W Monte Cristo Rd
Edinburg, TX 78541-4541
Phone (956) 380-0070

National Provider Directory

National Provider Directory

Locations

1122 S Closner Blvd
Edinburg, TX 78539
Phone (956) 380-0070

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1245666916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 W MONTE CRISTO RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785414541",
            "telephone_number": "956-380-0070",
            "fax_number": "956-380-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395662",
            "telephone_number": "956-380-0070",
            "fax_number": "956-380-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOO DENTAL OF EDINBURG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "BONDAR",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-380-0070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.