Active NPI
Zrallack Dental
- Dentist
- Titusville, FL
National Provider Identifier
1063508141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14970
- Legal business name
- ZRALLACK DENTAL
- Practice address
- 2670 Garden St
Titusville, FL 32796-3176 - Phone
- (321) 267-7970
- Fax
- (321) 264-9289
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michele Zrallack, D.M.D.
- Title
- Dentist
- Phone
- (321) 267-7970
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14970 | FL | Primary |
Addresses
Primary practice location
2670 Garden St
Titusville, FL 32796-3176
Mailing address
2670 Garden St
Titusville, FL 32796-3176
Phone (321) 267-7970
National Provider Directory
National Provider DirectoryLocations
2670 Garden St
Titusville, FL 32796
Phone (321) 267-1526
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Titusville, FL
- NPI 1255500732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1063508141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2670 GARDEN ST",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327963176",
"telephone_number": "321-267-7970",
"fax_number": "321-264-9289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2670 GARDEN ST",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327963176",
"telephone_number": "321-267-7970",
"fax_number": "321-264-9289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZRALLACK DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ZRALLACK",
"authorized_official_first_name": "MICHELE",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "321-267-7970",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "FL",
"license": "14970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Titusville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.