Organization Active NPI

Robert G. Zatroch, D.D.S., Inc

  • General Practice Dentistry
  • Willoughby Hills, OH
National Provider Identifier
1063624419
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.014613 Issued in OH
Legal business name
ROBERT G. ZATROCH, D.D.S., INC
Practice address
Jessica K. Zatroch, DDS, Inc.
35040 Chardon Road, Suite 100
Willoughby Hills, OH 44094
Phone
(440) 951-9966
Fax
(440) 951-3632
NPI assigned
May 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Authorized official

Name
Dr. Jessica K. Zatroch, D.D.S.NPI 1679785620
Title
Dentist/President
Phone
(440) 951-9966

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 30.014613 OH Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 30.022204 OH

Addresses

Primary practice location

Jessica K. Zatroch, DDS, Inc.
35040 Chardon Road, Suite 100
Willoughby Hills, OH 44094

Mailing address

Jessica K. Zatroch, DDS, Inc.
35040 Chardon Road, Suite 100
Willoughby Hills, OH 44094
Phone (440) 951-9966

National Provider Directory

National Provider Directory

Locations

35040 Chardon Rd
Ste 100
Willoughby Hills, OH 44094
Phone (440) 851-9966

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1063624419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JESSICA K. ZATROCH, DDS, INC.",
            "address_2": "35040 CHARDON ROAD, SUITE 100",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "44094",
            "telephone_number": "440-951-9966",
            "fax_number": "440-951-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JESSICA K. ZATROCH, DDS, INC.",
            "address_2": "35040 CHARDON ROAD, SUITE 100",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "44094",
            "telephone_number": "440-951-9966",
            "fax_number": "440-951-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT G. ZATROCH, D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-05",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "ZATROCH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "440-951-9966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.014613",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.022204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.