Active NPI
Lori Anne Zuptich, DMD
- Dentist
- Mentor, OH
National Provider Identifier
1508120007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D008451
- Practice address
- 9571 Mentor Avenue
Mentor, OH 44060 - Phone
- (440) 352-5700
- NPI assigned
- Jun 28, 2012
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D008451 | AZ | Primary |
Addresses
Primary practice location
9571 Mentor Avenue
Mentor, OH 44060
Mailing address
9571 Mentor Avenue
Mentor, OH 44060
Phone (440) 352-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170224002038 | OH | Order and Referring Only - Dentist | 7517241250 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D008451 | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429660800000",
"number": "1508120007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9571 MENTOR AVENUE",
"city": "MENTOR",
"state": "OH",
"postal_code": "44060",
"telephone_number": "440-352-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9571 MENTOR AVENUE",
"city": "MENTOR",
"state": "OH",
"postal_code": "44060",
"telephone_number": "440-352-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUPTICH",
"first_name": "LORI",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-28",
"last_updated": "2015-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D008451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.