Active NPI
Lawrence H Zager, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Chicago, IL
National Provider Identifier
1245227867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 021001094
- Practice address
- 25 E Washington St
# 825
Chicago, IL 60602-1708 - Phone
- (312) 372-0411
- Fax
- (312) 372-0428
- NPI assigned
- Sep 29, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 021001094 | IL | Primary |
Addresses
Primary practice location
25 E Washington St
# 825
Chicago, IL 60602-1708
Mailing address
25 E Washington St
# 825
Chicago, IL 60602-1708
Phone (312) 372-0411
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 433159 | Other | UNITED CONCORDIA | |
| 80006190 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 10, 2016 through Mar 10, 2028
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": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1245227867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 E WASHINGTON ST",
"address_2": "# 825",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606021708",
"telephone_number": "312-372-0411",
"fax_number": "312-372-0428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 E WASHINGTON ST",
"address_2": "# 825",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606021708",
"telephone_number": "312-372-0411",
"fax_number": "312-372-0428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAGER",
"first_name": "LAWRENCE",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-29",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "IL",
"license": "021001094",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "433159",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "80006190",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.