Oreste D Zanni, DDS – Periodontics in Methurn, MA

Key facts

NPI: 1174533731
Entity type: Individual (NPI type 1)
Primary specialty: Periodontics 1223P0300X
License: 12374 (MA)
Practice address: 126A Pleasant Valley Street
Methurn, MA 01844
Phone: (978) 688-5646
Fax: (978) 688-5647
NPI assigned: Aug 8, 2006
Sex: Male
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
12374	MA	MD	Massage Therapist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Periodontics	1223P0300X	12374	MA	Yes

Addresses

Primary practice location

126A Pleasant Valley Street
Methurn, MA 01844

Mailing address

126A Pleasant Valley Street
Methuen, MA 01844
Phone (978) 688-5646

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174533731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126A PLEASANT VALLEY STREET",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "01844",
            "telephone_number": "978-688-5646",
            "fax_number": "978-688-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126A PLEASANT VALLEY STREET",
            "city": "METHURN",
            "state": "MA",
            "postal_code": "01844",
            "telephone_number": "978-688-5646",
            "fax_number": "978-688-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANNI",
        "first_name": "ORESTE",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "12374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.