Andrew J Zegeer

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

4426 Issued in WV

Practice address

112 Morris Street, Ste 2
Charleston, WV 25301

Phone

(304) 833-9033

Fax

(304) 840-0216

NPI assigned

Apr 18, 2016

Last updated

Mar 30, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1083068811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MORRIS STREET, STE 2",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25301",
            "telephone_number": "304-833-9033",
            "fax_number": "304-840-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MORRIS STREET, STE 2",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25301",
            "telephone_number": "304-833-9033",
            "fax_number": "304-840-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEGEER",
        "first_name": "ANDREW",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-18",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "9889",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "WV",
            "license": "4426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Zalaznik-Shultz
• George Zaldivar, M.D
• Kyra Isabella Zamora, RBT-20-141020
• Brett Paul Zavadil, PA-C
• Zegeer Dental PLLC
• Devon Nicole Zegeer, D.D.S.
• John Edward Zegeer, DDS
• Steve M Zekan, M.D.
• Brandon Zellen
• Sabine Zent

• Periodontics in Charleston, WV
• Providers in Charleston, WV by specialty
• Periodontics in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.