Individual provider Active NPI

Jan Zemplenyi, M.D.

  • Facial Plastic Surgery Physician
  • Bellevue, WA
National Provider Identifier
1205932803
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
MD00024917 Issued in WA
Practice address
1260 116TH Ave NE
Suite 110
Bellevue, WA 98004-3809
Phone
(425) 455-7225
Fax
(425) 455-0045
NPI assigned
Sep 15, 2006
Last updated
Dec 19, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X MD00024917 WA Primary

Addresses

Primary practice location

1260 116TH Ave NE
Suite 110
Bellevue, WA 98004-3809

Mailing address

1260 116TH Ave NE
Suite 110
Bellevue, WA 98004-3809
Phone (425) 455-7225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060206000838 WA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 8224929393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1205932803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 116TH AVE NE",
            "address_2": "SUITE 110",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043809",
            "telephone_number": "425-455-7225",
            "fax_number": "425-455-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 116TH AVE NE",
            "address_2": "SUITE 110",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043809",
            "telephone_number": "425-455-7225",
            "fax_number": "425-455-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEMPLENYI",
        "first_name": "JAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "WA",
            "license": "MD00024917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.