NPIMap

Organization Active NPI

Zelmanow Dental LLC

  • General Practice Dentistry
  • East Lyme, CT
National Provider Identifier
1083244602
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ZELMANOW DENTAL LLC
Practice address
319 Flanders Rd
East Lyme, CT 06333-1711
Phone
(860) 739-6915
Fax
(860) 739-4908
NPI assigned
Jan 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Faith Gaskins
Title
Director of Credentialing
Phone
(972) 869-3789

Specialties & licenses 1

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

Addresses

Primary practice location

319 Flanders Rd
East Lyme, CT 06333-1711

Mailing address

319 Flanders Rd
East Lyme, CT 06333-1711
Phone (860) 739-6915

Other names 1

  • Zelmanow Dental Doing business as

National Provider Directory

National Provider Directory

Locations

319 Flanders Rd
East Lyme, CT 06333
Phone (860) 739-6915

Practitioners & affiliated clinicians

Practitioners 5

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": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1083244602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 FLANDERS RD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331711",
            "telephone_number": "860-739-6915",
            "fax_number": "860-739-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 FLANDERS RD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331711",
            "telephone_number": "860-739-6915",
            "fax_number": "860-739-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZELMANOW DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zelmanow Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Lyme, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.

Verify at the official NPI Registry.