Active NPI
Barbara L Zajicek-Daggett, DDS
- Dentist
- Wilmar, MN
National Provider Identifier
1316099872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D9295
- Practice address
- 301 Becker Ave SW
Wilmar, MN 56201-5620 - Phone
- (320) 214-2620
- Fax
- (320) 214-2630
- NPI assigned
- Jan 17, 2007
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D9295 | MN | Primary |
| General Practice Dentistry | 1223G0001X | D9295 | MN |
Addresses
Primary practice location
301 Becker Ave SW
Wilmar, MN 56201-5620
Mailing address
16057 673Rd Ave
Hutchinson, MN 55350
Phone (320) 583-8389
Other practice location 1
10 Hassan Street North
Hutchinson, MN 55350
Phone (320) 587-2726
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036871700 | Medicaid | MN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| D9295 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Dental PLLC | Dentist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Hutchinson, MN
- NPI 1700958998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1316099872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16057 673RD AVE",
"city": "HUTCHINSON",
"state": "MN",
"postal_code": "55350",
"telephone_number": "320-583-8389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 BECKER AVE SW",
"city": "WILMAR",
"state": "MN",
"postal_code": "562015620",
"telephone_number": "320-214-2620",
"fax_number": "320-214-2630"
}
],
"practiceLocations": [
{
"address_1": "10 Hassan Street North",
"address_purpose": "LOCATION",
"city": "Hutchinson",
"state": "MN",
"postal_code": "55350",
"country_code": "US",
"telephone_number": "320-587-2726",
"fax_number": "320-587-2469",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAJICEK-DAGGETT",
"first_name": "BARBARA",
"middle_name": "L",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D9295",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "D9295",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036871700",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmar, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.