Individual provider Active NPI

Michael R Zaritsky, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Kitty Hawk, NC
National Provider Identifier
1417046129
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
9072 Issued in NC
Practice address
5107 N Croatan Hwy
Unit 201
Kitty Hawk, NC 27949-3989
Phone
(252) 261-1313
Fax
(252) 261-1335
NPI assigned
Oct 12, 2006
Last updated
Jul 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 9072 NC Primary

Addresses

Primary practice location

5107 N Croatan Hwy
Unit 201
Kitty Hawk, NC 27949-3989

Mailing address

PO Box 512
Kitty Hawk, NC 27949-0512
Phone (252) 261-1313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20160510001977 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2668761925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9072NCMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Michael R. Zaritsky, DDS, PLLC Oral and Maxillofacial Surgery Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1417046129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279490512",
            "telephone_number": "252-261-1313",
            "fax_number": "252-261-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5107 N CROATAN HWY",
            "address_2": "UNIT 201",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493989",
            "telephone_number": "252-261-1313",
            "fax_number": "252-261-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARITSKY",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "9072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kitty Hawk, NC

Sources for this page

Verify at the official NPI Registry.