Individual provider Active NPI

David Adam Zeitlin, DDS

  • General Practice Dentistry
  • Arvada, CO
National Provider Identifier
1013034289
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9643 Issued in CO
Practice address
9122 W 88TH Ave
Arvada, CO 80005-1540
Phone
(303) 422-0836
Fax
(303) 423-1322
NPI assigned
Mar 23, 2007
Last updated
Nov 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 053073 NY
General Practice Dentistry 1223G0001X 9643 CO Primary

Addresses

Primary practice location

9122 W 88TH Ave
Arvada, CO 80005-1540

Mailing address

14707 Clayton St
Thornton, CO 80602-7327
Phone (516) 712-4388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160324000406 CO Order and Referring Only - DentistPractitioner - Dentist 5395042022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
053073NYMDGeneral Practice Dentistry
9643COMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Labs LLC PastSince Mar 5, 2023 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1013034289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14707 CLAYTON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806027327",
            "telephone_number": "516-712-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9122 W 88TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800051540",
            "telephone_number": "303-422-0836",
            "fax_number": "303-423-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEITLIN",
        "first_name": "DAVID",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053073",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.