Individual provider Active NPI

Zazell Staheli Cummings, DDS

  • Dentist
  • Kotzebue, AK
National Provider Identifier
1417306648
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
115410 Issued in AK
Practice address
436 5TH Avenue
Kotzebue, AK 99752
Phone
(907) 442-7326
NPI assigned
Jun 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 115410 AK Primary

Addresses

Primary practice location

436 5TH Avenue
Kotzebue, AK 99752

Mailing address

PO Box 28
Kotzebue, AK 99752-0028
Phone (907) 590-8757

Other practice location 1

55 Willow Street
Kiana, AK 99749
Phone (907) 590-8757

Other names 1

  • Zazell Staheli Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
115410AKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Maniilaq Association CurrentSince Oct 9, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: zcummings@direct.maniilaq.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1417306648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "KOTZEBUE",
            "state": "AK",
            "postal_code": "997520028",
            "telephone_number": "907-590-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 5TH AVENUE",
            "city": "KOTZEBUE",
            "state": "AK",
            "postal_code": "99752",
            "telephone_number": "907-442-7326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Willow Street",
            "address_purpose": "LOCATION",
            "city": "Kiana",
            "state": "AK",
            "postal_code": "99749",
            "country_code": "US",
            "telephone_number": "907-590-8757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "ZAZELL",
        "middle_name": "STAHELI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "115410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZAZELL",
            "last_name": "STAHELI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kotzebue, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.