Carlos Fabrizzio Zaldivar Tejada, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02855000 Issued in NJ

Practice address

4 Walter E Foran Blvd Ste 204
Flemington, NJ 08822-4666

Phone

(908) 788-1661

Fax

(908) 284-0797

NPI assigned

Jun 23, 2021

Last updated

Apr 5, 2023By the provider in NPPES

Sex

Male

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Flemington Dental Arts PA

  • General Practice Dentistry
  • Flemington, NJ
  • NPI 1720514557
  NPD (past)
• Moreno Family Dentistry

  • Dentist
  • Kansas City, KS
  • NPI 1023277431
  NPD (past)

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1417526443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WALTER E FORAN BLVD STE 204",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224666",
            "telephone_number": "908-788-1661",
            "fax_number": "908-284-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WALTER E FORAN BLVD STE 204",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224666",
            "telephone_number": "908-788-1661",
            "fax_number": "908-284-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALDIVAR TEJADA",
        "first_name": "CARLOS",
        "middle_name": "FABRIZZIO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02855000",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61898",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Young Dug Yoon, MD
• Your Smile LLC
• Carol J Yuan Duclair, MD
• Karen Yuengel, PA
• Victoria Leigh Zagursky, LSW
• Gina Marie Zanchelli-Astran, DO
• Theresa Zarzecki
• Kathryn Zepeda
• Zufall Health Center, Inc
• Amanda Joy Zweig

• General Practice Dentistry in Flemington, NJ
• Providers in Flemington, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.