Individual provider Active NPI

Lee John Zbojniewicz, R.D., L.D.

  • Registered Dietitian
  • San Antonio, TX
National Provider Identifier
1306800990
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT07373 Issued in TX
Practice address
20330 Huebner Rd Ste 104
San Antonio, TX 78258-3509
Phone
(210) 491-9655
Fax
(210) 491-9689
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT07373 TX Primary

Addresses

Primary practice location

20330 Huebner Rd Ste 104
San Antonio, TX 78258-3509

Mailing address

27003 Rustic Star
San Antonio, TX 78260-2523

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT07373TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Dcoa Physicians PA Past Accepting new patients
Dcoa Physician Associates PA Past 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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1306800990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27003 RUSTIC STAR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782602523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20330 HUEBNER RD STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583509",
            "telephone_number": "210-491-9655",
            "fax_number": "210-491-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZBOJNIEWICZ",
        "first_name": "LEE",
        "middle_name": "JOHN",
        "credential": "R.D., L.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT07373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.