Individual provider Active NPI

Ken T. Zeng, DMD

  • Dentist
  • New York, NY
National Provider Identifier
1023499134
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
058557 Issued in NY
Practice address
2 Allen St Unit 3B
New York, NY 10002-5382
Phone
(212) 233-8848
NPI assigned
Jun 15, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 058557 NY Primary

Addresses

Primary practice location

2 Allen St Unit 3B
New York, NY 10002-5382

Mailing address

2 Allen St Unit 3B
New York, NY 10002-5382

Other practice location 1

839 58th St
Brooklyn, NY 11220-3679
Phone (718) 290-2908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230104000431 NY Practitioner - Dentist 4284004433 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Zeng Dental Office, PC Single Specialty CurrentSince Oct 28, 2022 Accepting new patients

Locations

2 Allen St
Unit 3B
New York, NY 10002
Phone (212) 233-8848

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1023499134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ALLEN ST UNIT 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100025382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ALLEN ST UNIT 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100025382",
            "telephone_number": "212-233-8848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "839 58th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112203679",
            "country_code": "US",
            "telephone_number": "718-290-2908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZENG",
        "first_name": "KEN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-15",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "058557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.