NPIMap

Organization Active NPI

Zoo Dental, PLLC

  • General Practice Dentistry
  • Mission, TX
National Provider Identifier
1831475300
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ZOO DENTAL, PLLC
Practice address
2412 N Conway Ave
Mission, TX 78574-2347
Phone
(956) 585-0300
Fax
(956) 585-4355
NPI assigned
Oct 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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
Dentist
Phone
(956) 585-0300

Specialties & licenses 1

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

Addresses

Primary practice location

2412 N Conway Ave
Mission, TX 78574-2347

Mailing address

2412 N Conway Ave
Mission, TX 78574-2347
Phone (956) 585-0300

National Provider Directory

National Provider Directory

Locations

2412 N Conway Ave
Mission, TX 78574
Phone (956) 585-0300

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": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1831475300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 N CONWAY AVE",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785742347",
            "telephone_number": "956-585-0300",
            "fax_number": "956-585-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 N CONWAY AVE",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785742347",
            "telephone_number": "956-585-0300",
            "fax_number": "956-585-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOO DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "BONDAR",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "956-585-0300",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.