Marc J. Zauderer I, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13238 Issued in MA

Practice address

73 Princeton St
Suite 204
N Chelmsford, MA 01863-1558

Phone

(978) 251-8306

Fax

(978) 251-8326

NPI assigned

Jul 10, 2006

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 MA

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

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.

• Ranko Lisul DMD PC

  dba Dentistry of Chelmsford

  • Dental Clinic/Center
  • North Chelmsford, MA
  • NPI 1841005840
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598799579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 PRINCETON ST",
            "address_2": "SUITE 204",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018631558",
            "telephone_number": "978-251-8306",
            "fax_number": "978-251-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 PRINCETON ST",
            "address_2": "SUITE 204",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018631558",
            "telephone_number": "978-251-8306",
            "fax_number": "978-251-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAUDERER",
        "first_name": "MARC",
        "middle_name": "J.",
        "name_suffix": "I",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "13238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maricia Verma
• James Brian Waters, MD
• Lisa A Wentzell, FNP-BC
• Lisa Tami Wessan, LICSW
• Lisa J Zachert, PA-C

• General Practice Dentistry in N Chelmsford, MA
• Providers in N Chelmsford, MA by specialty
• General Practice Dentistry in Massachusetts

• 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.
• 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.