Active NPI
Zenaida Pilar Lirag Staana, DDS
- General Practice Dentistry
- Newark, CA
National Provider Identifier
1467534362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 54707
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 54707 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- South San Francisco, CA
- NPI 1427198043
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.