Organization Active NPI

Daniela Zambon DDS Ms PC

  • Periodontics
  • Mansfield, TX
National Provider Identifier
1619380110
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
DANIELA ZAMBON DDS MS PC
Practice address
1757 Broad Park Cir N
Suite 301
Mansfield, TX 76063-7825
Phone
(817) 453-7766
Fax
(817) 887-5625
NPI assigned
Jun 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Authorized official

Name
Dr. Daniela Zambon, DDS MSNPI 1952581456
Title
President
Phone
(817) 453-7766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

1757 Broad Park Cir N
Suite 301
Mansfield, TX 76063-7825

Mailing address

1757 Broad Park Cir N
Suite 301
Mansfield, TX 76063-7825
Phone (817) 453-7766

National Provider Directory

National Provider Directory

Locations

1757 Broad Park Cir N
Ste 301
Mansfield, TX 76063
Phone (817) 453-7766

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1619380110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 BROAD PARK CIR N",
            "address_2": "SUITE 301",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637825",
            "telephone_number": "817-453-7766",
            "fax_number": "817-887-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 BROAD PARK CIR N",
            "address_2": "SUITE 301",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637825",
            "telephone_number": "817-453-7766",
            "fax_number": "817-887-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELA ZAMBON DDS MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "ZAMBON",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-453-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.