Active NPI
Robert Zuehlke, DMD
- Dentist
- Fort Meade, MD
National Provider Identifier
1215964218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6099
- Practice address
- 8472 Simmond St
Fort Meade, MD 20755-5700 - Phone
- (301) 677-6078
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 014913 | MO | |
| Dentist | 122300000X | 6099 | KS | Primary |
Addresses
Primary practice location
8472 Simmond St
Fort Meade, MD 20755-5700
Mailing address
763 Springbloom Dr
Millersville, MD 21108-1484
Phone (410) 729-8449
Other practice location 1
2480 Llewellyn Ave
Fort George Meade, MD 20755-5800
Phone (301) 677-8955
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6099 | KS | MD | Dentist |
| 014913 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1215964218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "763 SPRINGBLOOM DR",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211081484",
"telephone_number": "410-729-8449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8472 SIMMOND ST",
"city": "FORT MEADE",
"state": "MD",
"postal_code": "207555700",
"telephone_number": "301-677-6078"
}
],
"practiceLocations": [
{
"address_1": "2480 Llewellyn Ave",
"address_purpose": "LOCATION",
"city": "Fort George Meade",
"state": "MD",
"postal_code": "207555800",
"country_code": "US",
"telephone_number": "301-677-8955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZUEHLKE",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "014913",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KS",
"license": "6099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Meade, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.