Daniela A Zambon, DDS MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

23438 Issued in TX

Practice address

1757 Broad Park Circle North
Suite 301
Mansfield, TX 76063

Phone

(817) 453-7766

Fax

(817) 887-5625

NPI assigned

Nov 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Daniela Zambon DDS Ms PC

  • Periodontics
  • Mansfield, TX
  • NPI 1619380110
  NPD (past) Authorized official

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1952581456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 BROAD PARK CIRCLE NORTH",
            "address_2": "SUITE 301",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "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 CIRCLE NORTH",
            "address_2": "SUITE 301",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "817-453-7766",
            "fax_number": "817-887-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMBON",
        "first_name": "DANIELA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "23438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raoul Shienji Yousa.
• Hani A Yousif, MD
• Monika Hany Youssef, MPAS, PA-C
• Moustafa A Youssef, M.D.
• Afis Yusuf
• Zenroze Med LLC
• Marian Zinnante, MD

• Periodontics in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Periodontics in Texas

• 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.