Individual provider Active NPI

Nader M Zanzi, D.M.D.

  • General Practice Dentistry
  • Granite Bay, CA
National Provider Identifier
1386925121
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52491 Issued in CA
Practice address
6910 Douglas Blvd
Ste. F
Granite Bay, CA 95746-6276
Phone
(916) 780-7676
NPI assigned
Sep 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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 52491 CA Primary

Addresses

Primary practice location

6910 Douglas Blvd
Ste. F
Granite Bay, CA 95746-6276

Mailing address

6910 Douglas Blvd
Ste. F
Granite Bay, CA 95746-6276
Phone (916) 780-7676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20241126000609 CA Order and Referring Only - DentistPractitioner - Dentist 8921533050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chet L Jenkins DDS Inc Past Accepting new patients
Zanzi Dental Group, Apc General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1386925121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 DOUGLAS BLVD",
            "address_2": "STE. F",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466276",
            "telephone_number": "916-780-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 DOUGLAS BLVD",
            "address_2": "STE. F",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466276",
            "telephone_number": "916-780-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANZI",
        "first_name": "NADER",
        "middle_name": "M",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite Bay, CA

Sources for this page

Verify at the official NPI Registry.