Individual provider Active NPI

Jeffrey L Zygar, DDS

  • General Practice Dentistry
  • Kingston, WA
National Provider Identifier
1528133634
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4422 Issued in WA
Practice address
25995 Barber Cut Off Rd NE
Suite 2B
Kingston, WA 98346-8456
Phone
(360) 297-2298
Fax
(360) 297-8445
NPI assigned
Nov 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
General Practice Dentistry 1223G0001X 4422 WA Primary

Addresses

Primary practice location

25995 Barber Cut Off Rd NE
Suite 2B
Kingston, WA 98346-8456

Mailing address

25995 Barber Cut Off Rd NE
Suite 2B
Kingston, WA 98346-8456
Phone (360) 297-2298

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
4422WAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528133634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25995 BARBER CUT OFF RD NE",
            "address_2": "SUITE 2B",
            "city": "KINGSTON",
            "state": "WA",
            "postal_code": "983468456",
            "telephone_number": "360-297-2298",
            "fax_number": "360-297-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25995 BARBER CUT OFF RD NE",
            "address_2": "SUITE 2B",
            "city": "KINGSTON",
            "state": "WA",
            "postal_code": "983468456",
            "telephone_number": "360-297-2298",
            "fax_number": "360-297-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZYGAR",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "4422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.