Organization Active NPI

Zelda Dental

  • General Practice Dentistry
  • Bay City, TX
National Provider Identifier
1356701668
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ZELDA DENTAL
Practice address
1807 Merlin St
Bay City, TX 77414-3131
Phone
(979) 245-7872
NPI assigned
Feb 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Authorized official

Name
Khalid Malkawi
Title
Partner/Owner
Phone
(979) 245-7872

Specialties & licenses 1

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

Addresses

Primary practice location

1807 Merlin St
Bay City, TX 77414-3131

Mailing address

1807 Merlin St
Bay City, TX 77414-3131
Phone (979) 245-7872

National Provider Directory

National Provider Directory

Locations

1807 Merlin St
Bay City, TX 77414
Phone (979) 245-7872

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": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1356701668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 MERLIN ST",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774143131",
            "telephone_number": "979-245-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 MERLIN ST",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774143131",
            "telephone_number": "979-245-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZELDA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "MALKAWI",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "979-245-7872"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.