Active NPI
Jenna Zacharewicz, DMD
- Dentist
- Wellington, FL
National Provider Identifier
1316516966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 26055
- Practice address
- 1037 S State Road 7 Ste 211
Wellington, FL 33414-6139 - Phone
- (954) 415-1297
- NPI assigned
- Jun 18, 2021
- Last updated
- Jan 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 26055 | FL | Primary |
Addresses
Primary practice location
1037 S State Road 7 Ste 211
Wellington, FL 33414-6139
Mailing address
5920 NW 63Rd PL
Parkland, FL 33067-4420
Phone (954) 415-1297
Other practice location 1
1720 N University Dr
Coral Springs, FL 33071-6090
Phone (954) 345-2264
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 |
|---|---|---|---|
| 26055 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adam Barbag, DMD PA | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672617600000",
"number": "1316516966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5920 NW 63RD PL",
"city": "PARKLAND",
"state": "FL",
"postal_code": "330674420",
"telephone_number": "954-415-1297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1037 S STATE ROAD 7 STE 211",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146139",
"telephone_number": "954-415-1297"
}
],
"practiceLocations": [
{
"address_1": "1720 N University Dr",
"address_purpose": "LOCATION",
"city": "Coral Springs",
"state": "FL",
"postal_code": "330716090",
"country_code": "US",
"telephone_number": "954-345-2264",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZACHAREWICZ",
"first_name": "JENNA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-18",
"last_updated": "2023-01-02",
"certification_date": "2023-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "26055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.