Individual provider Active NPI

Zolya Geller, DDS

  • Dentist
  • Milwaukee, WI
National Provider Identifier
1285822593
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
WI 3090 Issued in WI
Practice address
200 W Silver Spring Dr Ste 320
Milwaukee, WI 53217-5059
Phone
(414) 332-1808
Fax
(414) 332-5640
NPI assigned
Oct 11, 2007
Last updated
Oct 11, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X WI 3090 WI Primary

Addresses

Primary practice location

200 W Silver Spring Dr Ste 320
Milwaukee, WI 53217-5059

Mailing address

200 W Silver Spring Dr Ste 320
Milwaukee, WI 53217-5059
Phone (414) 332-1808

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

State licenses

LicenseStateTypeSpecialty
WI 3090WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Delicate Smiles LLC PastSince Mar 19, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1285822593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W SILVER SPRING DR STE 320",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532175059",
            "telephone_number": "414-332-1808",
            "fax_number": "414-332-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W SILVER SPRING DR STE 320",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532175059",
            "telephone_number": "414-332-1808",
            "fax_number": "414-332-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLER",
        "first_name": "ZOLYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "WI 3090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.