NPIMap

Individual provider Active NPI

Nathan Aaron Zaffke, D.D.S.

  • Dentist
  • Fargo, ND
National Provider Identifier
1205194933
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2151 Issued in ND
Practice address
3226 13TH Ave S
Fargo, ND 58103-3403
Phone
(701) 232-3379
NPI assigned
May 1, 2012
Last updated
Sep 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2151 ND Primary
Dentist 122300000X D13130 MN

Addresses

Primary practice location

3226 13TH Ave S
Fargo, ND 58103-3403

Mailing address

3226 13TH Ave S
Fargo, ND 58103-3403
Phone (701) 232-3379

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
D13130MNMDDentist
2151NDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald M. Peterson, DDS, PC Past Accepting new patients
Dr. Carrie Peterson Ddspc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1205194933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 13TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033403",
            "telephone_number": "701-232-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 13TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033403",
            "telephone_number": "701-232-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAFFKE",
        "first_name": "NATHAN",
        "middle_name": "AARON",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ND",
            "license": "2151",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.