NPIMap

Organization Active NPI

Stuart G Merle & Alan R Zicherman PC

  • Pediatric Dentistry
  • Peabody, MA
National Provider Identifier
1043330913
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12800 Issued in MA
Legal business name
STUART G MERLE & ALAN R ZICHERMAN PC
Practice address
1 Roosevelt Ave
Peabody, MA 01960-2200
Phone
(978) 535-2500
Fax
(978) 535-6327
NPI assigned
Apr 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Alan Roy Zicherman, DDS
Title
President
Phone
(978) 535-2500

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 21042 MA
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 12800 MA Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 12783 MA
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 20795 MA
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 19984 MA

Addresses

Primary practice location

1 Roosevelt Ave
Peabody, MA 01960-2200

Mailing address

1 Roosevelt Ave
Peabody, MA 01960-2200
Phone (978) 535-2500

National Provider Directory

National Provider Directory
Tax ID family
Stuart G Merle Alan R Zicherman PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Roosevelt Ave
Peabody, MA 01960
Phone (978) 535-1110

NPI Registry JSON

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

{
    "created_epoch": "1175385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1043330913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROOSEVELT AVE",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602200",
            "telephone_number": "978-535-2500",
            "fax_number": "978-535-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROOSEVELT AVE",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602200",
            "telephone_number": "978-535-2500",
            "fax_number": "978-535-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART G MERLE & ALAN R ZICHERMAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-01",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "ZICHERMAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-535-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21042",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "12800",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "12783",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "20795",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "19984",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.