Fred E Zietz, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3582 Issued in WI

Practice address

6333 University Ave
Suite 110
Middleton, WI 53562-3415

Phone

(608) 238-6244

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1346463528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 UNIVERSITY AVE",
            "address_2": "SUITE 110",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623415",
            "telephone_number": "608-238-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 UNIVERSITY AVE",
            "address_2": "SUITE 110",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623415",
            "telephone_number": "608-238-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIETZ",
        "first_name": "FRED",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33490900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Yu
• Kimberly Lorraine Zahasky, RN
• Yu Grace Zeng, M.D.
• Sydney Judith Zettler, LCSW
• Xiaofei Zhang, MD, PHD
• Julie Zimmerman
• Claire M Zionkowski, DPT
• Christine Marie Zuengler, RPH

• General Practice Dentistry in Middleton, WI
• Providers in Middleton, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.