Active NPI
Michael Zartun, DDS
- Dentist
- Valley Stream, NY
National Provider Identifier
1124163373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0355811
- Practice address
- 17 West Merrick Rd
Suite a Dental Associates of Valley Stream
Valley Stream, NY 11580-5718 - Phone
- (516) 825-6695
- Fax
- (516) 825-6642
- NPI assigned
- Feb 21, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 0355811 | NY | Primary |
Addresses
Primary practice location
17 West Merrick Rd
Suite a Dental Associates of Valley Stream
Valley Stream, NY 11580-5718
Mailing address
17 West Merrick Rd
Suite a
Valley Stream, NY 11580-5718
Phone (516) 825-6695
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 |
|---|---|---|---|
| 0355811 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124163373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 WEST MERRICK RD",
"address_2": "SUITE A",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115805718",
"telephone_number": "516-825-6695",
"fax_number": "516-825-6642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 WEST MERRICK RD",
"address_2": "SUITE A DENTAL ASSOCIATES OF VALLEY STREAM",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115805718",
"telephone_number": "516-825-6695",
"fax_number": "516-825-6642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZARTUN",
"first_name": "MICHAEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "0355811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Stream, 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.