Individual provider Active NPI

Hanna Marie Zombek, D.M.D

  • General Practice Dentistry
  • Rocky Mount, NC
National Provider Identifier
1013398304
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10106 Issued in NC
Practice address
165 Kandemor LN
Rocky Mount, NC 27804-3212
Phone
(252) 443-6443
Fax
(252) 443-0043
NPI assigned
Jun 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10106 NC Primary

Addresses

Primary practice location

165 Kandemor LN
Rocky Mount, NC 27804-3212

Mailing address

165 Kandemor LN
Rocky Mount, NC 27804-3212
Phone (252) 443-6443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10106NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
K. Jasinski, D.M.D., P.C. General Practice CurrentSince Sep 29, 2019 Accepting new patients

Locations

165 Kandemor Ln
Rocky Mount, NC 27804
Phone (252) 443-6443

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": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1013398304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 KANDEMOR LN",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043212",
            "telephone_number": "252-443-6443",
            "fax_number": "252-443-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 KANDEMOR LN",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043212",
            "telephone_number": "252-443-6443",
            "fax_number": "252-443-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOMBEK",
        "first_name": "HANNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.