Active NPI
Edward Alan Zupnik, DDS
- Periodontics
- Bethesda, MD
National Provider Identifier
1124116413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 11114
- Practice address
- 8218 Wisconsin Avenue
Suite 203
Bethesda, MD 20814-3107 - Phone
- (301) 656-0331
- Fax
- (301) 656-1325
- NPI assigned
- Oct 11, 2006
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 11114 | MD | Primary |
Addresses
Primary practice location
8218 Wisconsin Avenue
Suite 203
Bethesda, MD 20814-3107
Mailing address
8218 Wisconsin Avenue
Suite 203
Bethesda, MD 20814-3107
Phone (301) 656-0331
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 |
|---|---|---|---|
| 11114 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1124116413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8218 WISCONSIN AVENUE",
"address_2": "SUITE 203",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143107",
"telephone_number": "301-656-0331",
"fax_number": "301-656-1325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8218 WISCONSIN AVENUE",
"address_2": "SUITE 203",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143107",
"telephone_number": "301-656-0331",
"fax_number": "301-656-1325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUPNIK",
"first_name": "EDWARD",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MD",
"license": "11114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.