Elizabeth Zebian

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30522 Issued in TX

Practice address

2501 Ridgmar PLZ
Suite 106
Fort Worth, TX 76116-2689

Phone

(817) 737-0721

NPI assigned

Oct 7, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• East Bay Community Action Program

  • Dental Clinic/Center
  • Newport, RI
  • NPI 1861439705
  NPD (past)

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1407259260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 SHADOW DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167332",
            "telephone_number": "817-729-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 RIDGMAR PLZ",
            "address_2": "SUITE 106",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761162689",
            "telephone_number": "817-737-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEBIAN",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30522",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN03234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Zatopek, LPC
• Jeffrey R Zavaleta, MD
• Janette M Zdanuk Dodd, DNP, FNP, CWS
• Klaus Zebaze
• Ted Zebaze, PMHNP-BC , APRN, MSN
• Jocelyn Vun Zee, DO
• Gracie Zeeb
• Zeel
• Brandon Chase Zegarelli, PHARMD
• Sidney Benjamin Zeichner, MD

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.