Individual provider Active NPI

Harold Steven Zald, DDS

  • General Practice Dentistry
  • Troy, MI
National Provider Identifier
1164591558
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12166 Issued in MI
Practice address
5127 Rochester Rd
Troy, MI 48085
Phone
(248) 528-1611
Fax
(248) 528-0245
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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 12166 MI Primary

Addresses

Primary practice location

5127 Rochester Rd
Troy, MI 48085

Mailing address

Box 555221
1St Dental Battalion, Naval Dental Center
Camp Pendleton, CA 92055-5221
Phone (760) 725-2569

Other identifiers 1

IdentifierTypeStateIssuer
HZ012166OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210928001480 NC Practitioner - Dentist 9931506318 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12088NCMDProfessional Counselor
12166MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University CurrentSince Sep 1, 2021 Accepting new patients
East Carolina University CurrentSince Sep 1, 2021 Accepting new patients
East Carolina University Current Accepting new patients
Meadowbrook Family Dentists PC General Practice Past Accepting new patients

Locations

1851 Macgregor Downs Rd
Greenville, NC 27834
Phone (252) 737-7000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1164591558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 555221",
            "address_2": "1ST DENTAL BATTALION, NAVAL DENTAL CENTER",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "920555221",
            "telephone_number": "760-725-2569",
            "fax_number": "760-725-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5127 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48085",
            "telephone_number": "248-528-1611",
            "fax_number": "248-528-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALD",
        "first_name": "HAROLD",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "12166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HZ012166",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.