Organization Active NPI

Dr. Stella Bondar D.M.D.,P.C.

  • Dentist
  • Quincy, MA
National Provider Identifier
1285035865
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19975 Issued in MA
Legal business name
DR. STELLA BONDAR D.M.D.,P.C.
Practice address
1261 Furnace Brook Pkwy
Ste 27
Quincy, MA 02169
Phone
(617) 472-1287
NPI assigned
Sep 15, 2014
Organization subpart
Yes
Parent organization
DR. STELLA BONDAR D.M.D.,P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Mrs. Marie Collins
Title
Office Manager
Phone
(617) 472-1287

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 19975 MA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 19975 MA

Addresses

Primary practice location

1261 Furnace Brook Pkwy
Ste 27
Quincy, MA 02169

Mailing address

1261 Furnace Brook Pkwy
Ste 27
Quincy, MA 02169

National Provider Directory

National Provider Directory
Part of
Stella Bondar DMD PC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1285035865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 FURNACE BROOK PKWY",
            "address_2": "STE 27",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 FURNACE BROOK PKWY",
            "address_2": "STE 27",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02169",
            "telephone_number": "617-472-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. STELLA BONDAR D.M.D.,P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. STELLA BONDAR D.M.D.,P.C.",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "617-472-1287",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "19975",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19975",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.