Individual provider Active NPI

Michael Zenn, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Raleigh, NC
National Provider Identifier
1396829271
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
95-01693 Issued in NC
Practice address
7920 Acc Blvd Ste 110
Raleigh, NC 27617-8744
Phone
(919) 480-3885
Fax
(919) 714-0936
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 95-01693 NC Primary

Addresses

Primary practice location

7920 Acc Blvd Ste 110
Raleigh, NC 27617-8744

Mailing address

7920 Acc Blvd Ste 110
Raleigh, NC 27617-8744
Phone (919) 480-3885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
95-01693NCMDPlastic and Reconstructive Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1396829271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 ACC BLVD STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178744",
            "telephone_number": "919-480-3885",
            "fax_number": "919-714-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 ACC BLVD STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178744",
            "telephone_number": "919-480-3885",
            "fax_number": "919-714-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENN",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NC",
            "license": "95-01693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.