Alexis Zucker, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D011787 Issued in AZ

Practice address

18715 N Reems Rd Ste 100
Surprise, AZ 85374-8643

Phone

(623) 975-3115

NPI assigned

May 31, 2023

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Perry H. Fraiman DDS PLLC

  • Dentist
  • Surprise, AZ
  • NPI 1710397047
  NPD (past)

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1083307490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 E MAYO BLVD UNIT 1075",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850544509",
            "telephone_number": "480-888-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18715 N REEMS RD STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748643",
            "telephone_number": "623-975-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCKER",
        "first_name": "ALEXIS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rewan Amad Zineldine, DDS
• Jackson Adam Zinter
• Krystian Ziolkowski
• Rhonda Jean Zonoozi
• Catherine Elizabeth Zotovich, DNP, APRN FNP-C
• Darby Zwiefelhofer, RN

• General Practice Dentistry in Surprise, AZ
• Providers in Surprise, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.