NPIMap

Organization Active NPI

Marianna Zadov, P.a

  • General Practice Dentistry
  • Jupiter, FL
National Provider Identifier
1104397090
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MARIANNA ZADOV, P.A
Practice address
1025 Military TRL Ste 210
Jupiter, FL 33458-7040
Phone
(561) 241-7656
NPI assigned
Dec 17, 2018
Organization subpart
Yes
Parent organization
MARIANNA ZADOV, P.AAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Authorized official

Name
Dr. Marianna Zadov
Title
Owner
Phone
(561) 305-2958

Specialties & licenses 1

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

Addresses

Primary practice location

1025 Military TRL Ste 210
Jupiter, FL 33458-7040

Mailing address

1905 Clint Moore Rd Apt 1703
Boca Raton, FL 33496-2658

Other names 1

  • Elite Dental of Jupiter Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marianna Zadov PA8 organizations share this tax ID, including this one
Part of
Marianna Zadov PA

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1905 Clint Moore Rd
Apt 1703
Boca Raton, FL 33496

1025 Military Trl
Ste 210
Jupiter, FL 33458
Phone (561) 241-7656

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1104397090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD APT 1703",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MILITARY TRL STE 210",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587040",
            "telephone_number": "561-241-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANNA ZADOV, P.A",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARIANNA ZADOV, P.A",
        "enumeration_date": "2018-12-17",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "ZADOV",
        "authorized_official_first_name": "MARIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-305-2958",
        "authorized_official_name_prefix": "Dr."
    },
    "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": "Elite Dental of Jupiter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.