Christiaan Frederick Zietsman, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

058907-1 Issued in NY

Practice address

30 Landing Ave
Smithtown, NY 11787-2711

Phone

(631) 265-6900

NPI assigned

May 29, 2013

Last updated

Nov 21, 2016By the provider in NPPES

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

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1396182523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LANDING AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872711",
            "telephone_number": "631-265-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LANDING AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872711",
            "telephone_number": "631-265-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIETSMAN",
        "first_name": "CHRISTIAAN",
        "middle_name": "FREDERICK",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-29",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "058907-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia C. Zenner-Rubesh, OTR/L
• Sharon Joy Zeoli, NP
• Laura Zerafa
• Yadira Alejandra Zhindon, LCAT-LP
• Zahra Khawar Zia, MS, OTR/L
• Catherine Zillmann, NPP
• Janet Zimlinghaus, FNP
• Heather D Zinkin, MD
• Adi Zion, P.T.
• Anthony Vincent Zizzamia, DPM

• Prosthodontics in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Prosthodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.