Individual provider Active NPI

Michael D'Ambrosio-Zurcher, DDS

  • General Practice Dentistry
  • Madison, TN
National Provider Identifier
1497249783
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11189 Issued in TN
Practice address
103 Cude LN
Madison, TN 37115-2201
Phone
(615) 851-7999
NPI assigned
Jun 19, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 34249 TX
General Practice Dentistry 1223G0001X 11189 TN Primary

Addresses

Primary practice location

103 Cude LN
Madison, TN 37115-2201

Mailing address

103 Cude LN
Madison, TN 37115-2201
Phone (615) 851-7999

Other practice location 1

1002 Glenbrook Way Ste 200
Hendersonville, TN 37075-1312
Phone (615) 280-8027

Other identifiers 2

IdentifierTypeStateIssuer
11189OtherTNDENTAL LICENSE
34249OtherTXDENTAL LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address michael.dambrosio@pacden.com Direct
Direct Messaging Address michaelzurcher@cordentalgroup.com Direct

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
11189TNMDGeneral Practice Dentistry
34249TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
CD Tennessee Dental, P.C. General Practice CurrentSince Apr 11, 2021 Accepting new patients
Hendersonville Smiles Dentistry, PC PastSince Jan 1, 2020 Accepting new patients
Westpointe Modern Dentistry, PC General Practice Past Accepting new patients

Locations

103 Cude Ln
Madison, TN 37115
Phone (615) 766-8017

Organizations & group practices 3

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1497249783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CUDE LN",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152201",
            "telephone_number": "615-851-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CUDE LN",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152201",
            "telephone_number": "615-851-7999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 Glenbrook Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370751312",
            "country_code": "US",
            "telephone_number": "615-280-8027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'AMBROSIO-ZURCHER",
        "first_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-19",
        "last_updated": "2021-04-06",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34249",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "11189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "11189",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "34249",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.dambrosio@pacden.com",
            "affiliation": "N",
            "endpointDescription": "Protected Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1002 Glenbrook Way Ste 200",
            "city": "Hendersonville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370751312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michaelzurcher@cordentalgroup.com",
            "affiliation": "N",
            "endpointDescription": "Protected Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "103 Cude Ln",
            "city": "Madison",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371152201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.