Steven Robert Zisook, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31435 Issued in CA

Practice address

14361 Twisted Branch Rd
Poway, CA 92064-1462

Phone

(858) 312-1900

Fax

(858) 312-1900

NPI assigned

Jul 18, 2007

Last updated

Jul 18, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1063612091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1044",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920741044",
            "telephone_number": "858-312-1900",
            "fax_number": "858-312-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14361 TWISTED BRANCH RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920641462",
            "telephone_number": "858-312-1900",
            "fax_number": "858-312-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZISOOK",
        "first_name": "STEVEN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Zapalac, DACCHM
• Maryam Zarei, M.D.
• Natalia Zaya
• Zeal Senior Living, Inc.
• David J Zettel, DDS
• Rong Zou, M.D.
• Ashley Zurita
• Tyler Ann Zybura, RN, BSN

• General Practice Dentistry in Poway, CA
• Providers in Poway, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.