Individual provider Active NPI

Dwayne Del Zobell, DDS

  • General Practice Dentistry
  • Cheyenne, WY
National Provider Identifier
1598958290
Registry record updated Aug 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
847 Issued in WY
Practice address
7356 Stockman St
Cheyenne, WY 82009-6006
Phone
(307) 637-7249
NPI assigned
Aug 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 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 847 WY Primary

Addresses

Primary practice location

7356 Stockman St
Cheyenne, WY 82009-6006

Mailing address

7356 Stockman St
Cheyenne, WY 82009-6006
Phone (307) 637-7249

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
847WYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1188000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188000000000",
    "number": "1598958290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7356 STOCKMAN ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820096006",
            "telephone_number": "307-637-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7356 STOCKMAN ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820096006",
            "telephone_number": "307-637-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOBELL",
        "first_name": "DWAYNE",
        "middle_name": "DEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-25",
        "last_updated": "2007-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.