Martin H Zase, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

6794 Issued in CT

Practice address

79A Norwich Avenue
Colchester, CT 06413-0193

Phone

(860) 537-2351

Fax

(860) 537-2354

NPI assigned

Jul 13, 2012

Last updated

Jul 13, 2012By the provider in NPPES

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 CT

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

State licenses

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.

• DRS Park, Zase and Babinski

  dba Colchester Dental Group, LLC

  • Dentist
  • Colchester, CT
  • NPI 1194807982
  Authorized official Same address or phone

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1588919732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79A NORWICH AVENUE",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064150193",
            "telephone_number": "860-537-2351",
            "fax_number": "860-537-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79A NORWICH AVENUE",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064130193",
            "telephone_number": "860-537-2351",
            "fax_number": "860-537-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZASE",
        "first_name": "MARTIN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "6794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Danielle Willing, LCSW
• Kevin Neal Winicki, RPH
• Nicholas E. Wisniewski, O.D.
• Ellen Young
• Renee Young
• Alice Teresa Zic, MPH, LCSW
• Rebecca Ziskind, LPC
• Lori A Zornado, LCSW

• Dentist in Colchester, CT
• Providers in Colchester, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.