Peter A. Zaidel

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6953 Issued in CT

Practice address

512 Main St
Cromwell, CT 06416-1407

Phone

(860) 635-5578

Fax

(860) 613-0864

NPI assigned

Oct 16, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1386724482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 MAIN ST",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064161407",
            "telephone_number": "860-635-5578",
            "fax_number": "860-613-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 MAIN ST",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064161407",
            "telephone_number": "860-635-5578",
            "fax_number": "860-613-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAIDEL",
        "first_name": "PETER",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "6953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Yarbrough, MSW
• Michael Yawgel, RPH
• Anhelina Yevhlevska
• Courtney Young
• Katherine Zabbo
• Erica Lyn Zapatka, OTR/L
• Corinne S Zavaglia, MS, RDN
• Karen Zavala
• Leonard J Zgorski, RPH
• Limei Zhang

• General Practice Dentistry in Cromwell, CT
• Providers in Cromwell, CT by specialty
• General Practice Dentistry in Connecticut

• 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.