Theodore J Zervas, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18613 Issued in MA

Practice address

55 Federal St
Suite 240
Greenfield, MA 01301-2549

Phone

(413) 772-0884

NPI assigned

Aug 22, 2006

Sex

Male

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Zervas Dentistry PLLC

  • Dental Clinic/Center
  • Greenfield, MA
  • NPI 1164198305
  NPD Authorized official

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093821159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FEDERAL ST",
            "address_2": "SUITE 240",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012549",
            "telephone_number": "413-772-0884",
            "fax_number": "413-773-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FEDERAL ST",
            "address_2": "SUITE 240",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012549",
            "telephone_number": "413-772-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERVAS",
        "first_name": "THEODORE",
        "middle_name": "J",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Younger-Flynn
• Kachina Yuryan
• Richard J Zalowski, PHD
• Leah Nichole Zapponi, LPN
• Zervas Dentistry PLLC
• Shannon Lynn Zidack
• Merideth Kate Zide, MA
• Daniel W Zinn, MD
• Makayla Ziomek, RD
• Irena Zou, PHARMD

• General Practice Dentistry in Greenfield, MA
• Providers in Greenfield, MA by specialty
• General Practice Dentistry in Massachusetts

• 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.

Verify at the official NPI Registry.