Organization Active NPI

Alexander M Zuk DMD LLC

Doing business as Nob Hill Dental

  • Dental Clinic/Center
  • Salem, OR
National Provider Identifier
1003622648
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ALEXANDER M ZUK DMD LLC
Doing business as
Nob Hill Dental
Practice address
1805 E Nob Hill St SE
Salem, OR 97302-5237
Phone
(503) 364-9515
Fax
(503) 365-9713
NPI assigned
Dec 9, 2024
Last updated
Dec 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Dr. Alexander Zuk, DMDNPI 1801563697
Title
Dentist/Owner
Phone
(503) 798-5148

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

1805 E Nob Hill St SE
Salem, OR 97302-5237

Mailing address

1040 Luradel Ave S
Salem, OR 97302-6029
Phone (503) 798-5148

Other names 1

  • Nob Hill Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1805 E Nob Hill St SE
Salem, OR 97302
Phone (503) 364-9515

Practitioners & affiliated clinicians

Practitioners 2

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": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1003622648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 LURADEL AVE S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973026029",
            "telephone_number": "503-798-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 E NOB HILL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025237",
            "telephone_number": "503-364-9515",
            "fax_number": "503-365-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER M ZUK DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "ZUK",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "503-798-5148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nob Hill Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.