Dustin Zierold MD, a Professional Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A85833 Issued in CA

Legal business name

DUSTIN ZIEROLD MD, A PROFESSIONAL CORPORATION

Practice address

2 Medical Plaza Dr Ste 275
Roseville, CA 95661-3051

Phone

(916) 462-8403

Fax

(916) 771-0433

NPI assigned

Jun 9, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dustin Zierold, MD

Title

Ceo

Phone

(707) 999-1999

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396274544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PLAZA DR STE 275",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613051",
            "telephone_number": "916-462-8403",
            "fax_number": "916-771-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PLAZA DR STE 275",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613051",
            "telephone_number": "916-462-8403",
            "fax_number": "916-771-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUSTIN ZIEROLD MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ZIEROLD",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-999-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A85833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.