Zelia D Cannon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22D101700900 Issued in NJ

Practice address

25 Woodport Rd
Sparta, NJ 07871-2408

Phone

(973) 729-9044

Fax

(973) 729-5666

NPI assigned

May 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Gentle Dentistry Group PC

  • General Practice Dentistry
  • Sparta, NJ
  • NPI 1982707782
  NPD (past) Authorized official

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245446087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WOODPORT RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712408",
            "telephone_number": "973-729-9044",
            "fax_number": "973-729-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WOODPORT RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712408",
            "telephone_number": "973-729-9044",
            "fax_number": "973-729-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "ZELIA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D101700900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Charles Cabassa, D.D.S.
• Carol Elizabeth Calabrese, MD
• Gregory Calkins, PTA
• Caitlyn Camacho, LPC, ACS, NCC
• Stephen Candio, DDS
• Christian Canzoniero, M.D.
• Capitol Care, Inc.
• Alexis Nicole Capozzoli, M.D.
• Laura Cappetta, DMD
• Carefirst Primary Care LLC

• Dentist in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.