David Phillip Zandi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12008167B Issued in IN

Practice address

33 W 7TH St
Peru, IN 46970-2130

Phone

(765) 473-5300

Fax

(765) 473-7845

NPI assigned

Jul 27, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

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.

• Bower Family Dentistry

  • Dental Clinic/Center
  • Peru, IN
  • NPI 1235621921
  NPD (past)
• Gill Dental Holdings

  • Dental Clinic/Center
  • Peru, IN
  • NPI 1164341475
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437173770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 W 7TH ST",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469702130",
            "telephone_number": "765-473-5300",
            "fax_number": "765-473-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W 7TH ST",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469702130",
            "telephone_number": "765-473-5300",
            "fax_number": "765-473-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANDI",
        "first_name": "DAVID",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12008167B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Kay Wolf, LMHC
• Elizabeth E Wolfe
• Zoe Wolfe
• In T Yoon, M.D.
• Young Mens Christian Association
• Jennifer Nichole Zell, BA
• Kenneth Jay Zumbaugh, MS, LMHC

• Dentist in Peru, IN
• Providers in Peru, IN by specialty
• Dentist in Indiana

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.