Dr. Mesfin Zelleke, P.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DR. MESFIN ZELLEKE, P.C.

Practice address

14228 Smoketown Rd
Woodbridge, VA 22192-4708

Phone

(703) 491-0570

NPI assigned

Nov 14, 2010

Last updated

Dec 3, 2012By 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

Dr. Mesfin Zelleke, DDSNPI 1427243013

Title

Owner

Phone

(703) 491-0570

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mesfin Wolde Zelleke, D.D.S.

  • General Practice Dentistry
  • Woodbridge, VA
  • NPI 1427243013
  NPD (past) Authorized official
• Sachi Desai Patel, D.D.S

  • General Practice Dentistry
  • New York, NY
  • NPI 1063854818
  NPD (past)

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

{
    "created_epoch": "1289692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1215238860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14228 SMOKETOWN RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924708",
            "telephone_number": "703-491-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14228 SMOKETOWN RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924708",
            "telephone_number": "703-491-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MESFIN ZELLEKE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-14",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "ZELLEKE",
        "authorized_official_first_name": "MESFIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-491-0570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.