Elena Zakharian, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019030284 Issued in IL

Practice address

2484 US Highway 30 # B101
Oswego, IL 60543-8974

Phone

(630) 801-1999

NPI assigned

Oct 6, 2015

Sex

Female

Sole proprietor

Yes

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 IL

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

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463184000000",
    "number": "1245600048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2484 US HIGHWAY 30 # B101",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438974",
            "telephone_number": "630-801-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2484 US HIGHWAY 30 # B101",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438974",
            "telephone_number": "630-801-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKHARIAN",
        "first_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2016-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019030284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Asher Wyncott, LSW
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• Ghadeer Yassin
• June Young, RN
• Ahmad Askari Zaidi, DMD
• Cassia Victoria Zarzuela, M.D.
• Dawn Zegar, LCSW
• Danielle Faith Zimmerman, LCPC

• Dentist in Oswego, IL
• Providers in Oswego, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2016; 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.