Individual provider Active NPI

Raj J. Zanzi, D.M.D.

  • General Practice Dentistry
  • Lincoln, CA
National Provider Identifier
1366597973
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47216 Issued in CA
Practice address
2295 Fieldstone Dr
#230
Lincoln, CA 95648-8806
Phone
(916) 543-0825
Fax
(916) 543-0895
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 47216 CA Primary

Addresses

Primary practice location

2295 Fieldstone Dr
#230
Lincoln, CA 95648-8806

Mailing address

2295 Fieldstone Dr
#230
Lincoln, CA 95648-8806
Phone (916) 543-0825

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

LicenseStateTypeSpecialty
47216CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366597973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 FIELDSTONE DR",
            "address_2": "#230",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956488806",
            "telephone_number": "916-543-0825",
            "fax_number": "916-543-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 FIELDSTONE DR",
            "address_2": "#230",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956488806",
            "telephone_number": "916-543-0825",
            "fax_number": "916-543-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANZI",
        "first_name": "RAJ",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.