Active NPI
Jeta Zedek, DDS
- Dentist
- Fairfield, CT
National Provider Identifier
1134247539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 009127
- Practice address
- 195 Tunxis Hill Cut Off South
Fairfield, CT 06825 - Phone
- (203) 336-1275
- Fax
- (203) 335-5038
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- 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 | 009127 | CT | Primary |
Addresses
Primary practice location
195 Tunxis Hill Cut Off South
Fairfield, CT 06825
Mailing address
195 Tunxis Hill Cut Off South
Fairfield, CT 06825
Phone (203) 336-1275
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 |
|---|---|---|---|
| 009127 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1134247539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 TUNXIS HILL CUT OFF SOUTH",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "06825",
"telephone_number": "203-336-1275",
"fax_number": "203-335-5038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 TUNXIS HILL CUT OFF SOUTH",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "06825",
"telephone_number": "203-336-1275",
"fax_number": "203-335-5038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEDEK",
"first_name": "JETA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "009127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CT
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.