Individual provider Active NPI

Cassandra Mae Zelenak, D.D.S.

  • Dentist
  • Grafton, WV
National Provider Identifier
1508274499
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4119 Issued in WV
Practice address
711 N Pike St
Grafton, WV 26354-1221
Phone
(304) 265-4600
Fax
(304) 265-6008
NPI assigned
Jul 24, 2014
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4119 WV Primary

Addresses

Primary practice location

711 N Pike St
Grafton, WV 26354-1221

Mailing address

711 N Pike St
Grafton, WV 26354-1221
Phone (304) 376-5728

Other practice location 1

132 Cortland Acres Ln
Thomas, WV 26292-8070
Phone (304) 259-5225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20201022000185 WV Order and Referring Only - DentistPractitioner - Dentist 1759701220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jason R Long DDS, PLLC Past Accepting new patients
Preston-Taylor Community Health Centers Incorporated Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1508274499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N PIKE ST",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541221",
            "telephone_number": "304-376-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N PIKE ST",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541221",
            "telephone_number": "304-265-4600",
            "fax_number": "304-265-6008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Cortland Acres Ln",
            "address_purpose": "LOCATION",
            "city": "Thomas",
            "state": "WV",
            "postal_code": "262928070",
            "country_code": "US",
            "telephone_number": "304-259-5225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZELENAK",
        "first_name": "CASSANDRA",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "4119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, WV

Sources for this page

Verify at the official NPI Registry.