Daniel S Zavadsky, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001095 Issued in WI

Practice address

215 N Webb Ave
Reedsburg, WI 53959-1606

Phone

(608) 524-4212

Fax

(608) 524-4212

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Daniel S Zavadsky DDS SC

  • Dental Clinic/Center
  • Reedsburg, WI
  • NPI 1871643635
  NPD (past) Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457401218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N WEBB AVE",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591606",
            "telephone_number": "608-524-4212",
            "fax_number": "608-524-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N WEBB AVE",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591606",
            "telephone_number": "608-524-4212",
            "fax_number": "608-524-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVADSKY",
        "first_name": "DANIEL",
        "middle_name": "S",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33547300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alana Marie Winchel, RN
• Thomas William Wood, M.D.
• Worksite Care, LLC
• Bianca Yager
• Lauren E. Young, MA, LPC
• Xin Zhang, PHARMD
• Zachary Zietz, DC
• Craig Zimmerman
• Kelin Barbara Zoellner, PA-C

• General Practice Dentistry in Reedsburg, WI
• Providers in Reedsburg, WI by specialty
• General Practice Dentistry in Wisconsin

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.