Active NPI
Susan Lynn Zerrahn, D.M.D.
- Endodontics
- Peru, NY
National Provider Identifier
1235348657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 052872
- Practice address
- 2993 Main St
Suite 2
Peru, NY 12972-0343 - Phone
- (518) 643-8080
- Fax
- (518) 643-8484
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 052872 | NY | Primary |
Addresses
Primary practice location
2993 Main St
Suite 2
Peru, NY 12972-0343
Mailing address
PO Box 343
2993 Main St., Ste. #2
Peru, NY 12972-0343
Phone (518) 643-8080
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192752000000",
"number": "1235348657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 343",
"address_2": "2993 MAIN ST., STE. #2",
"city": "PERU",
"state": "NY",
"postal_code": "129720343",
"telephone_number": "518-643-8080",
"fax_number": "518-643-8484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2993 MAIN ST",
"address_2": "SUITE 2",
"city": "PERU",
"state": "NY",
"postal_code": "129720343",
"telephone_number": "518-643-8080",
"fax_number": "518-643-8484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZERRAHN",
"first_name": "SUSAN",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NY",
"license": "052872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peru, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.