Individual provider Active NPI

Melinda Marie-Russell Zettel, D.D.S., M.S.

  • General Practice Dentistry
  • West Branch, MI
National Provider Identifier
1285812164
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901015884 Issued in MI
Practice address
648 Progress St
Suite 201
West Branch, MI 48661-8602
Phone
(989) 345-2221
Fax
(989) 345-2340
NPI assigned
Feb 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901015884 MI Primary

Addresses

Primary practice location

648 Progress St
Suite 201
West Branch, MI 48661-8602

Mailing address

648 Progress St. P.O. Box 399
Suite 201
West Branch, MI 48661
Phone (989) 345-2221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2901015884MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Zettel and Zettel DDS, PC General Practice Past Accepting new patients

Organizations & group practices 1

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": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1285812164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 PROGRESS ST. P.O. BOX 399",
            "address_2": "SUITE 201",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "48661",
            "telephone_number": "989-345-2221",
            "fax_number": "989-345-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 PROGRESS ST",
            "address_2": "SUITE 201",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486618602",
            "telephone_number": "989-345-2221",
            "fax_number": "989-345-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZETTEL",
        "first_name": "MELINDA",
        "middle_name": "MARIE-RUSSELL",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901015884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Branch, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.