Rubicon Dental Group, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23727 Issued in TX

Legal business name

RUBICON DENTAL GROUP, PA

Practice address

920 S Closner Blvd Ste D
Edinburg, TX 78539-5641

Phone

(909) 528-0614

NPI assigned

Dec 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sergey Bondar, D.D.S.

Title

President

Phone

(909) 528-0614

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1228521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228521600000",
    "number": "1821233776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 S CLOSNER BLVD STE D",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395641",
            "telephone_number": "909-528-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S CLOSNER BLVD STE D",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395641",
            "telephone_number": "909-528-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBICON DENTAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-06",
        "last_updated": "2008-12-06",
        "status": "A",
        "authorized_official_last_name": "BONDAR",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-528-0614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192829301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Roy
• RPM Healthcare LLC
• RPN Management Inc.
• Savannah Nicole Rubalcaba
• Rubens RX LLC
• Rosimar Ruiz Reyna, LMSW
• Jaime Ruiz-Perez, MD, MPH
• Araely Ruiz
• Crystal Ruiz, PA-C
• Elizabeth Ruiz, MSN, APRN, FNP-BC

• General Practice Dentistry in Edinburg, TX
• Providers in Edinburg, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2008; 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.