Active NPI
Minas John Zoulis, DDS., MS.
- Oral & Maxillofacial Surgery (D.M.D.)
- Cockeysville, MD
National Provider Identifier
1144725813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 16428
- Practice address
- 113 Old Padonia Rd Ste 110
Cockeysville, MD 21030-4966 - Phone
- (410) 498-4404
- NPI assigned
- Mar 26, 2018
- 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 |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 16428 | MD | Primary |
Addresses
Primary practice location
113 Old Padonia Rd Ste 110
Cockeysville, MD 21030-4966
Mailing address
100 E Newton St
Boston, MA 02118-2308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 13, 2022 through Sep 13, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16428 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1144725813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E NEWTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 OLD PADONIA RD STE 110",
"city": "COCKEYSVILLE",
"state": "MD",
"postal_code": "210304966",
"telephone_number": "410-498-4404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOULIS",
"first_name": "MINAS",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DDS., MS.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-26",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "MD",
"license": "16428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cockeysville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.