Active NPI
Diana Zumaran, DMD
- Dentist
- Greenacres, FL
National Provider Identifier
1235860040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN27088
- Practice address
- 3980 S Military TRL
Greenacres, FL 33463-3434 - Phone
- (954) 699-1429
- NPI assigned
- Jun 22, 2022
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN27088 | FL | Primary |
Addresses
Primary practice location
3980 S Military TRL
Greenacres, FL 33463-3434
Mailing address
541 Blue Heron Dr Apt 208
Hallandale Beach, FL 33009-5787
Phone (954) 699-1429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221201000616 | FL | Order and Referring Only - Dentist | 3476921073 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1235860040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 BLUE HERON DR APT 208",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330095787",
"telephone_number": "954-699-1429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3980 S MILITARY TRL",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334633434",
"telephone_number": "954-699-1429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUMARAN",
"first_name": "DIANA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-22",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN27088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenacres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.