Zen Dental Care

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ZEN DENTAL CARE

Practice address

1591 Farmers LN
Santa Rosa, CA 95405-7525

Phone

(707) 300-6444

NPI assigned

Jan 22, 2020

Last updated

Jan 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Philip Lawrence Ching, MBA

Title

Specialty/Insurance Director

Phone

(408) 607-3276

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 6

Locations

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1326678087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1591 FARMERS LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057525",
            "telephone_number": "707-595-3615",
            "fax_number": "707-595-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 FARMERS LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057525",
            "telephone_number": "707-300-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEN DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "CHING",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "SPECIALTY/INSURANCE DIRECTOR",
        "authorized_official_telephone_number": "408-607-3276",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "1417023979",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "OpenDental",
            "affiliation": "N",
            "endpointDescription": "dental program",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1591 Farmers Ln",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954057525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "OpenDental",
            "affiliation": "N",
            "endpointDescription": "dental program",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1591 Farmers Ln",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954057525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "OpenDental",
            "affiliation": "N",
            "endpointDescription": "dental program",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1591 Farmers Ln",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954057525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "OpenDental",
            "affiliation": "N",
            "endpointDescription": "dental program",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1591 Farmers Ln",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954057525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "OpenDental",
            "affiliation": "N",
            "endpointDescription": "dental program",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1591 Farmers Ln",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954057525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "OpenDental",
            "affiliation": "N",
            "endpointDescription": "dental program",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1591 Farmers Ln",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954057525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stefan M Zechowy, M.D.
• Arnold Eugene Zeff, M.D.
• Lee Zeledon
• Paul Pavel Zelenak, RPT
• Thomas J. Zembal, M.D.
• Dwayne John Zentner
• Diane Zepaltas, MS RD
• Fan Zhang, MD
• Grace Shuang Zhang, MD
• Xiancong Zhang

• Dental Clinic/Center in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.