Individual provider Active NPI

Gretchen Raymond Zody, DDS

  • Dentist
  • Westerville, OH
National Provider Identifier
1033259825
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
OH19132 Issued in OH
Practice address
627 Office Pkwy
Westerville, OH 43082-7814
Phone
(614) 882-1135
Fax
(614) 882-4911
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X OH19132 OH Primary

Addresses

Primary practice location

627 Office Pkwy
Westerville, OH 43082-7814

Mailing address

627 Office Pkwy
Westerville, OH 43082-7814
Phone (614) 882-1135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190930001632 OH Practitioner - Dentist 5395075667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OH19132OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1033259825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 OFFICE PKWY",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827814",
            "telephone_number": "614-882-1135",
            "fax_number": "614-882-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 OFFICE PKWY",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827814",
            "telephone_number": "614-882-1135",
            "fax_number": "614-882-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZODY",
        "first_name": "GRETCHEN",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "OH19132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.