NPIMap

Organization Active NPI

Marianna Zadov, P.a

  • Dentist
  • West Palm Beach, FL
National Provider Identifier
1194184101
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MARIANNA ZADOV, P.A
Practice address
4700 N Congress Ave #302
West Palm Beach, FL 33407
Phone
(561) 666-9691
Fax
(561) 948-2081
NPI assigned
Feb 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Marianna Zadov, DDS
Title
Owner
Phone
(561) 666-9691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4700 N Congress Ave #302
West Palm Beach, FL 33407

Mailing address

4700 N Congress Ave #302
West Palm Beach, FL 33407
Phone (561) 666-9691

Other identifiers 1

IdentifierTypeStateIssuer
000800101MedicaidFL

Other names 2

  • POLO DENTAL Doing business as
  • Polo Dental of West Palm Beach Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marianna Zadov PA8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4700 N Congress Ave
Ste 302
West Palm Beach, FL 33407
Phone (561) 210-4157

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194184101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N CONGRESS AVE #302",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33407",
            "telephone_number": "561-666-9691",
            "fax_number": "561-948-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N CONGRESS AVE #302",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33407",
            "telephone_number": "561-666-9691",
            "fax_number": "561-948-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANNA ZADOV, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "ZADOV",
        "authorized_official_first_name": "MARIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-666-9691",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000800101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POLO DENTAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Polo Dental of West Palm Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; 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.