Individual provider Active NPI

Zenaida Pilar Lirag Staana, DDS

  • General Practice Dentistry
  • Newark, CA
National Provider Identifier
1467534362
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54707 Issued in CA
Practice address
35201 Newark Blvd Ste E
Newark, CA 94560-1229
Phone
(510) 792-6396
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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 54707 CA Primary

Addresses

Primary practice location

35201 Newark Blvd Ste E
Newark, CA 94560-1229

Mailing address

2700 Randall Way
Hayward, CA 94541-4425
Phone (510) 366-4807

Other practice location 1

12345 S El Monte Rd Rm 5312
Los Altos Hills, CA 94022-4504
Phone (650) 949-7335

Other names 1

  • Zenaida Pilar Romack Lirag Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 24, 2016 through Mar 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
54707CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ronaldo E Fermin DMD Inc General Practice Past Accepting new patients

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1467534362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 RANDALL WAY",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414425",
            "telephone_number": "510-366-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35201 NEWARK BLVD STE E",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945601229",
            "telephone_number": "510-792-6396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12345 S El Monte Rd Rm 5312",
            "address_purpose": "LOCATION",
            "city": "Los Altos Hills",
            "state": "CA",
            "postal_code": "940224504",
            "country_code": "US",
            "telephone_number": "650-949-7335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAANA",
        "first_name": "ZENAIDA PILAR",
        "middle_name": "LIRAG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZENAIDA PILAR",
            "last_name": "LIRAG",
            "middle_name": "ROMACK",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, CA

Sources for this page

Verify at the official NPI Registry.