Michael R Zeitler DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009162A Issued in IN

Legal business name

MICHAEL R ZEITLER DDS LLC

Practice address

809 Wall Street
Valpariso, IN 46383-2516

Phone

(219) 464-9681

Fax

(219) 464-9682

NPI assigned

Oct 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Robert Zeitler, DDS

Title

Member Owner

Phone

(219) 464-9681

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215023452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 WALL STREET",
            "city": "VALPARISO",
            "state": "IN",
            "postal_code": "463832516",
            "telephone_number": "219-464-9681",
            "fax_number": "219-464-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 WALL STREET",
            "city": "VALPARISO",
            "state": "IN",
            "postal_code": "463832516",
            "telephone_number": "219-464-9681",
            "fax_number": "219-464-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R ZEITLER DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZEITLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MEMBER OWNER",
        "authorized_official_telephone_number": "219-464-9681",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009162A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.