Individual provider Active NPI

Marianna Zadov, DDS

  • Dentist
  • Boca Raton, FL
National Provider Identifier
1104903301
Registry record updated Apr 18, 2008
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jan 20, 2026.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN16481 Issued in FL
Practice address
5030 Champion Blvd
Suite G4
Boca Raton, FL 33496
Phone
(561) 241-7656
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN16481 FL Primary

Addresses

Primary practice location

5030 Champion Blvd
Suite G4
Boca Raton, FL 33496

Mailing address

5030 Champion Blvd
Suite G4
Boca Raton, FL 33496
Phone (561) 305-2958

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
DN16481FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Smiles of Port Saint Lucie Current Accepting new patients
Happy Smiles of Port Saint Lucie Dentist Current Accepting new patients
Marianna Zadov, P.a Dentist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1104903301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 CHAMPION BLVD",
            "address_2": "SUITE G4",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33496",
            "telephone_number": "561-305-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 CHAMPION BLVD",
            "address_2": "SUITE G4",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33496",
            "telephone_number": "561-241-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZADOV",
        "first_name": "MARIANNA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.