Active NPI
Andrew P. Zaterka, DMD
- Dentist
- Southborough, MA
National Provider Identifier
1154304319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18615
- Practice address
- 11 Main St
Suite 2
Southborough, MA 01772-1661 - Phone
- (508) 481-6100
- Fax
- (508) 485-8734
- NPI assigned
- Nov 22, 2005
- 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 | 18615 | MA | Primary |
Addresses
Primary practice location
11 Main St
Suite 2
Southborough, MA 01772-1661
Mailing address
14 Graystone Way
Southborough, MA 01772-1300
Phone (508) 481-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150914001238 | MA | Order and Referring Only - Dentist | 3476860107 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18615 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southborough Dental Associates LLP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Southborough, MA
- NPI 1518052620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1154304319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 GRAYSTONE WAY",
"city": "SOUTHBOROUGH",
"state": "MA",
"postal_code": "017721300",
"telephone_number": "508-481-6100",
"fax_number": "508-485-8734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 MAIN ST",
"address_2": "SUITE 2",
"city": "SOUTHBOROUGH",
"state": "MA",
"postal_code": "017721661",
"telephone_number": "508-481-6100",
"fax_number": "508-485-8734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZATERKA",
"first_name": "ANDREW",
"middle_name": "P.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "18615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.