Organization Active NPI

Ted D Zaharako Estate

  • General Practice Dentistry
  • Columbus, IN
National Provider Identifier
1235575499
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12007403 Issued in IN
Legal business name
TED D ZAHARAKO ESTATE
Practice address
3154 N National Rd
Columbus, IN 47201-3170
Phone
(812) 372-0102
Fax
(812) 372-3875
NPI assigned
May 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Authorized official

Name
Mrs. Alice Jean Phillips
Title
Personal Respentative
Phone
(812) 342-9986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12007403 IN Primary

Addresses

Primary practice location

3154 N National Rd
Columbus, IN 47201-3170

Mailing address

431 Washington St
Columbus, IN 47201-6757
Phone (812) 376-6676

National Provider Directory

National Provider Directory

Locations

3154 N National Rd
Columbus, IN 47201
Phone (812) 372-0102

431 Washington St
Columbus, IN 47201

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1235575499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 WASHINGTON ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016757",
            "telephone_number": "812-376-6676",
            "fax_number": "812-379-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3154 N NATIONAL RD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472013170",
            "telephone_number": "812-372-0102",
            "fax_number": "812-372-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TED D ZAHARAKO ESTATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PERSONAL RESPENTATIVE",
        "authorized_official_telephone_number": "812-342-9986",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.