Individual provider Active NPI

Kristi Zheku, DMD

  • General Practice Dentistry
  • West Palm Beach, FL
National Provider Identifier
1154837458
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23081 Issued in FL
Practice address
4512 N Flagler Dr Ste 301
West Palm Beach, FL 33407-3897
Phone
(561) 260-5145
NPI assigned
Dec 21, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23081 FL Primary

Addresses

Primary practice location

4512 N Flagler Dr Ste 301
West Palm Beach, FL 33407-3897

Mailing address

801 S Olive Ave Unit 201
West Palm Beach, FL 33401-5957
Phone (561) 781-4640

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

LicenseStateTypeSpecialty
23081FLMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1154837458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S OLIVE AVE UNIT 201",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015957",
            "telephone_number": "561-781-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4512 N FLAGLER DR STE 301",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073897",
            "telephone_number": "561-260-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHEKU",
        "first_name": "KRISTI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "23081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.