Active NPI
Domenick Thomas Zero, DDS
- Dentist
- Indianapolis, IN
National Provider Identifier
1073647723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12010340A
- Practice address
- 1121 West Michigan St
Indiana University School of Dentistry
Indianapolis, IN 46202 - Phone
- (317) 274-8822
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12010340A | IN | Primary |
Addresses
Primary practice location
1121 West Michigan St
Indiana University School of Dentistry
Indianapolis, IN 46202
Mailing address
760 Eagle Creek CT
Zionsville, IN 46077-2003
Phone (317) 733-1633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150312001168 | IN | Order and Referring Only - Oral Surgery | 8123344017 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073647723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 EAGLE CREEK CT",
"city": "ZIONSVILLE",
"state": "IN",
"postal_code": "460772003",
"telephone_number": "317-733-1633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 WEST MICHIGAN ST",
"address_2": "INDIANA UNIVERSITY SCHOOL OF DENTISTRY",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46202",
"telephone_number": "317-274-8822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZERO",
"first_name": "DOMENICK",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12010340A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.