Individual provider Active NPI

Zachary Kyle McComb, DMD

  • Dentist
  • Merced, CA
National Provider Identifier
1245882455
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS103818 Issued in CA
Practice address
3180 Collins Dr Ste B
Merced, CA 95348-3156
Phone
(209) 723-4268
NPI assigned
Jul 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS103818 CA Primary

Addresses

Primary practice location

3180 Collins Dr Ste B
Merced, CA 95348-3156

Mailing address

3180 Collins Dr Ste B
Merced, CA 95348-3156
Phone (209) 723-4268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20260521002595 CA Practitioner - Dentist 0042780843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Western University of Health Sciences College of Dental Med, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1910 Customer Care Way
Atwater, CA 95301-5167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS103818CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Von Goodin DDS, Inc PastSince Sep 4, 2022 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1245882455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 COLLINS DR STE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483156",
            "telephone_number": "209-723-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 COLLINS DR STE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483156",
            "telephone_number": "209-723-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOMB",
        "first_name": "ZACHARY",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-09",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS103818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.