Individual provider Active NPI

Jacob M Zabrowski, DDS

  • General Practice Dentistry
  • Sun Prairie, WI
National Provider Identifier
1184315749
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6001273 Issued in WI
Practice address
140 N City Station Dr
Sun Prairie, WI 53590-4642
Phone
(608) 837-9800
NPI assigned
May 16, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 6001273 WI Primary

Addresses

Primary practice location

140 N City Station Dr
Sun Prairie, WI 53590-4642

Mailing address

1050 E Washington Ave Apt 511
Madison, WI 53703-3620
Phone (715) 216-2944

Other practice location 1

1300 Nygaard St
Stoughton, WI 53589-5486
Phone (608) 205-3280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240124001027 WI Order and Referring Only - DentistPractitioner - Dentist 7719330919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6001273WIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1184315749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E WASHINGTON AVE APT 511",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033620",
            "telephone_number": "715-216-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N CITY STATION DR",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535904642",
            "telephone_number": "608-837-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Nygaard St",
            "address_purpose": "LOCATION",
            "city": "Stoughton",
            "state": "WI",
            "postal_code": "535895486",
            "country_code": "US",
            "telephone_number": "608-205-3280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZABROWSKI",
        "first_name": "JACOB",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6001273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Prairie, WI

Sources for this page

Verify at the official NPI Registry.