Active NPI
Allan Richard Zell, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Yonkers, NY
National Provider Identifier
1093848079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 26162
- Practice address
- 1730 Central Park Ave
Yonkers, NY 10710 - Phone
- (914) 337-6303
- Fax
- (203) 445-8125
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 26162 | NY | Primary |
Addresses
Primary practice location
1730 Central Park Ave
Yonkers, NY 10710
Mailing address
11 April Drive
Easton, CT 06612
Phone (203) 445-7842
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00524667 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26162 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093848079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 APRIL DRIVE",
"city": "EASTON",
"state": "CT",
"postal_code": "06612",
"telephone_number": "203-445-7842",
"fax_number": "203-445-8125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 CENTRAL PARK AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "10710",
"telephone_number": "914-337-6303",
"fax_number": "203-445-8125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELL",
"first_name": "ALLAN",
"middle_name": "RICHARD",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "26162",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00524667",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.