Individual provider Active NPI

Gary Dean Zuck, D.D.S.

  • General Practice Dentistry
  • Prairie Village, KS
National Provider Identifier
1427188960
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
KS4570 Issued in KS
Practice address
8132 Rosewood Dr
Prairie Village, KS 66208-5008
Phone
(913) 648-5261
NPI assigned
Mar 6, 2007
Last updated
May 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2013

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 KS4570 KS Primary

Addresses

Primary practice location

8132 Rosewood Dr
Prairie Village, KS 66208-5008

Mailing address

8132 Rosewood Dr
Prairie Village, KS 66208-5008
Phone (913) 648-5261

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
KS4570KSMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1427188960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8132 ROSEWOOD DR",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085008",
            "telephone_number": "913-648-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8132 ROSEWOOD DR",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085008",
            "telephone_number": "913-648-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCK",
        "first_name": "GARY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "KS4570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.