Zachary Wisniewski, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

2901600111 Issued in MI

Practice address

1140 S Belsay Rd
Burton, MI 48509-1909

Phone

(810) 744-0433

NPI assigned

May 28, 2019

Last updated

Sep 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Burton Dental Center

  • Dentist
  • Burton, MI
  • NPI 1316701485
  NPD Authorized official
• Burton Dental Center

  dba robert a. comini dds

  • General Practice Dentistry
  • Burton, MI
  • NPI 1053852830
  NPD (past)

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1306403159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 ANNE AVE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481163504",
            "telephone_number": "810-623-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 S BELSAY RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091909",
            "telephone_number": "810-744-0433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19636 Allen Rd",
            "address_purpose": "LOCATION",
            "city": "Brownstown Twp",
            "state": "MI",
            "postal_code": "481831022",
            "country_code": "US",
            "telephone_number": "734-366-4502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISNIEWSKI",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-28",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark P Williams, O.D.
• Ross H Williams, OD
• Nia Jane Willis
• Rachelle Renay Willits
• Breanna Wilson
• Nan Mary Witzgall, P.T.
• Tarisha Wright, CPHT
• Hongyun Yan, M.D.
• Djoni Yarbrough
• Ramie Alexander Yelle, LAC

• Dentist in Burton, MI
• Providers in Burton, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.