NPIMap

Organization Active NPI

Periza Zaninovic DDS PC

  • General Practice Dentistry
  • Niles, MI
National Provider Identifier
1003565086
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PERIZA ZANINOVIC DDS PC
Practice address
123 Marmont St
Niles, MI 49120-1657
Phone
(269) 683-6461
NPI assigned
Mar 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Authorized official

Name
Periza Zaninovic, DDSNPI 1841410727
Title
Dentist/Owner
Phone
(269) 683-6461

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

123 Marmont St
Niles, MI 49120-1657

Mailing address

123 Marmont St
Niles, MI 49120-1657
Phone (269) 683-6461

National Provider Directory

National Provider Directory

Locations

123 Marmont St
Niles, MI 49120
Phone (269) 683-6461

Practitioners & affiliated clinicians

Practitioners 5

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": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1003565086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MARMONT ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491201657",
            "telephone_number": "269-683-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MARMONT ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491201657",
            "telephone_number": "269-683-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIZA ZANINOVIC DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "ZANINOVIC",
        "authorized_official_first_name": "PERIZA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "269-683-6461",
        "authorized_official_credential": "DDS"
    },
    "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 Niles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.