Individual provider Active NPI

Roger H. Zenn, D.D.S.

  • General Practice Dentistry
  • Florham Park, NJ
National Provider Identifier
1215174529
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12509 Issued in NJ
Practice address
123 Columbia Tpke
Suite 101-B
Florham Park, NJ 07932-2117
Phone
(973) 377-7007
NPI assigned
Jan 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12509 NJ Primary

Addresses

Primary practice location

123 Columbia Tpke
Suite 101-B
Florham Park, NJ 07932-2117

Mailing address

123 Columbia Tpke
Suite 101-B
Florham Park, NJ 07932-2117
Phone (973) 377-7007

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
12509NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231459200000",
    "number": "1215174529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 COLUMBIA TPKE",
            "address_2": "SUITE 101-B",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322117",
            "telephone_number": "973-377-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 COLUMBIA TPKE",
            "address_2": "SUITE 101-B",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322117",
            "telephone_number": "973-377-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENN",
        "first_name": "ROGER",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "12509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.