Individual provider Active NPI

Patrick D Zawadski, DDS

  • Dentist
  • Stillwater, MN
National Provider Identifier
1225702152
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D14581 Issued in MN
Practice address
333 Main St N
Stillwater, MN 55082-5098
Phone
(651) 439-6125
NPI assigned
Aug 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D14581 MN Primary

Addresses

Primary practice location

333 Main St N
Stillwater, MN 55082-5098

Mailing address

255 N Owasso Blvd
Saint Paul, MN 55126-3055
Phone (651) 283-7379

Other practice location 1

4700 Lexington Ave N
Shoreview, MN 55126-5867
Phone (651) 283-7379

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
D14581MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Zawadski Dental PLLC CurrentSince Jan 19, 2025 Accepting new patients
John F. Reardon DDS, PA PastSince Mar 12, 2023 Accepting new patients

Locations

333 Main St N
Ste 111
Stillwater, MN 55082
Phone (651) 439-6125

333 Main St N
Stillwater, MN 55082
Phone (651) 439-6125

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1225702152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N OWASSO BLVD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551263055",
            "telephone_number": "651-283-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MAIN ST N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550825098",
            "telephone_number": "651-439-6125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Lexington Ave N",
            "address_purpose": "LOCATION",
            "city": "Shoreview",
            "state": "MN",
            "postal_code": "551265867",
            "country_code": "US",
            "telephone_number": "651-283-7379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAWADSKI",
        "first_name": "PATRICK",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-04",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.