Organization Active NPI

Zeena J Kazangy, D.D.S.

  • Dentist
  • Detroit, MI
National Provider Identifier
1083861470
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ZEENA J KAZANGY, D.D.S.
Practice address
6061 W. Vernor Hwy
Detroit, MI 48209-2085
Phone
(313) 841-1010
Fax
(313) 841-4709
NPI assigned
Aug 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Authorized official

Name
Ms. Marissa Corrine Cervera
Title
Office Manager
Phone
(810) 227-5008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

6061 W. Vernor Hwy
Detroit, MI 48209-2085

Mailing address

6061 W. Vernor Hwy
Detroit, MI 48209-2085
Phone (313) 841-1010

Other identifiers 1

IdentifierTypeStateIssuer
3186292MedicaidMI

National Provider Directory

National Provider Directory

Locations

6061 W Vernor Hwy
Detroit, MI 48209
Phone (248) 841-1010

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1083861470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6061 W. VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092085",
            "telephone_number": "313-841-1010",
            "fax_number": "313-841-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6061 W. VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092085",
            "telephone_number": "313-841-1010",
            "fax_number": "313-841-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEENA J KAZANGY, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "CERVERA",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "CORRINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "810-227-5008",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3186292",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.