Active NPI
Michael D'Ambrosio-Zurcher, DDS
- General Practice Dentistry
- Madison, TN
National Provider Identifier
1497249783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11189
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11189 | Other | TN | DENTAL LICENSE |
| 34249 | Other | TX | DENTAL LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11189 | TN | MD | General Practice Dentistry |
| 34249 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CD Tennessee Dental, P.C. | General Practice | Current | Accepting new patients |
| Hendersonville Smiles Dentistry, PC | Past | 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.
-
- General Practice Dentistry
- Madison, TN
- NPI 1083263586
-
- Dentist
- Hendersonville, TN
- NPI 1407379373
-
- General Practice Dentistry
- New Braunfels, TX
- NPI 1326340761
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.