Individual provider Active NPI

David James Zilka, DDS

  • Dentist
  • Herkimer, NY
National Provider Identifier
1497828867
Registry record updated Jul 8, 2007
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
037326 Issued in NY
Practice address
301 Mohawk St
Herkimer, NY 13350-2215
Phone
(315) 866-2460
Fax
(315) 866-8574
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 037326 NY Primary

Addresses

Primary practice location

301 Mohawk St
Herkimer, NY 13350-2215

Mailing address

301 Mohawk St
Herkimer, NY 13350-2215
Phone (315) 866-2460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150625001083 NY Order and Referring Only - DentistPractitioner - Dentist 8921319336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497828867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MOHAWK ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133502215",
            "telephone_number": "315-866-2460",
            "fax_number": "315-866-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MOHAWK ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133502215",
            "telephone_number": "315-866-2460",
            "fax_number": "315-866-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZILKA",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "037326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herkimer, NY

Sources for this page

Verify at the official NPI Registry.