Individual provider Active NPI

Tara L Zier, D.D.S

  • General Practice Dentistry
  • Burke, VA
National Provider Identifier
1376697615
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401008692 Issued in VA
Practice address
8996 Burke Lake Rd Ste 200
Burke, VA 22015-1607
Phone
(703) 764-7800
Fax
(703) 764-9045
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

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 0401008692 VA Primary

Addresses

Primary practice location

8996 Burke Lake Rd Ste 200
Burke, VA 22015-1607

Mailing address

8996 Burke Lake Rd Ste 200
Burke, VA 22015-1607
Phone (703) 764-7800

Other identifiers 1

IdentifierTypeStateIssuer
0401008692OtherVALICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160323002263 PA Order and Referring Only - DentistPractitioner - Dentist 2961709662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401008692VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376697615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8996 BURKE LAKE RD STE 200",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151607",
            "telephone_number": "703-764-7800",
            "fax_number": "703-764-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8996 BURKE LAKE RD STE 200",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151607",
            "telephone_number": "703-764-7800",
            "fax_number": "703-764-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIER",
        "first_name": "TARA",
        "middle_name": "L",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "0401008692",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

Verify at the official NPI Registry.