Neil R Zachs, D.M.D, M.S

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

8371 Issued in AZ

Practice address

20950 N Tatum Blvd Ste 210
Phoenix, AZ 85050-4268

Phone

(480) 538-8100

NPI assigned

Jun 22, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Ridge Dental Specialists LLC

  • Endodontics
  • Phoenix, AZ
  • NPI 1689895765
  NPD (past)

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1538397161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1598 BAY ST UNIT 204",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941231881",
            "telephone_number": "480-394-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20950 N TATUM BLVD STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504268",
            "telephone_number": "480-538-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHS",
        "first_name": "NEIL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.M.D, M.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AZ",
            "license": "8371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith G Zacher, MD
• Michael William Zacher, DDS
• Peggy Jo Zacher, PSY S
• Richard C Zacher, MD
• Holly Elizabeth Zachry, LPC
• April Tatiana Zackert, FNP-C
• Penny S Zaddack, PSY.D.
• Eliran Eli Zadikov, MD
• Sivan Zadikov, PA-C
• Adeel Zafar, M.D.

• Periodontics in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Periodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.

Verify at the official NPI Registry.