Active NPI
Stuart G Merle & Alan Zicherman PC
- Pediatric Dentistry
- Lynn, MA
National Provider Identifier
1124299060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 12783
- Legal business name
- STUART G MERLE & ALAN ZICHERMAN PC
- Practice address
- 225 Boston St
Lynn, MA 01904-3137 - Phone
- (781) 581-7798
- NPI assigned
- Mar 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alan Roy Zicherman, D.D.S
- Title
- President
- Phone
- (978) 535-2500
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21042 | MA | |
| Pediatric Dentistry | 1223P0221X | 12783 | MA | Primary |
| Pediatric Dentistry | 1223P0221X | 12800 | MA | |
| Pediatric Dentistry | 1223P0221X | 20795 | MA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 19984 | MA |
Addresses
Primary practice location
225 Boston St
Lynn, MA 01904-3137
Mailing address
225 Boston St
Lynn, MA 01904-3137
Phone (781) 581-7798
National Provider Directory
National Provider Directory- Tax ID family
- Stuart G Merle Alan R Zicherman PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Dentistry
- Peabody, MA
- NPI 1043330913
Locations
225 Boston St
Lynn, MA 01904
Phone (781) 581-7333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205884800000",
"number": "1124299060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 BOSTON ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019043137",
"telephone_number": "781-581-7798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 BOSTON ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019043137",
"telephone_number": "781-581-7798"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STUART G MERLE & ALAN ZICHERMAN PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-19",
"last_updated": "2008-03-19",
"status": "A",
"authorized_official_last_name": "ZICHERMAN",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "ROY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "978-535-2500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "21042",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "MA",
"license": "12783",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "MA",
"license": "12800",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "MA",
"license": "20795",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MA",
"license": "19984",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.