Individual provider Active NPI

David E Zelley, D.M.D.

  • General Practice Dentistry
  • Haddon Heights, NJ
National Provider Identifier
1407994387
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI010922 Issued in NJ
Practice address
607 Station Ave
Haddon Heights, NJ 08035-1906
Phone
(856) 547-0520
Fax
(856) 547-8685
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DI010922 NJ Primary

Addresses

Primary practice location

607 Station Ave
Haddon Heights, NJ 08035-1906

Mailing address

607 Station Ave
Haddon Heights, NJ 08035-1906
Phone (856) 547-0520

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

State licenses

LicenseStateTypeSpecialty
DI010922NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Hirt DMD LLC Past Accepting new patients
Bram Dental Group 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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407994387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 STATION AVE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351906",
            "telephone_number": "856-547-0520",
            "fax_number": "856-547-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 STATION AVE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351906",
            "telephone_number": "856-547-0520",
            "fax_number": "856-547-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELLEY",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI010922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.