NPIMap

Organization Active NPI

William E Zugner, D.D.S., Todd R. Pedersen, D.D.S.

  • Dentist
  • Webster, NY
National Provider Identifier
1619035292
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WILLIAM E ZUGNER, D.D.S., TODD R. PEDERSEN, D.D.S.
Practice address
55 North Ave
Webster, NY 14580-3007
Phone
(585) 872-2797
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Authorized official

Name
William E Zugner, D.D.S.NPI 1598705378
Title
Owner/Partner
Phone
(585) 872-2797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

55 North Ave
Webster, NY 14580-3007

Mailing address

55 North Ave
Webster, NY 14580-3007
Phone (585) 872-2797

Other identifiers 2

IdentifierTypeStateIssuer
05030328MedicaidNY
02320574MedicaidNY

National Provider Directory

National Provider Directory

Locations

55 North Ave
Webster, NY 14580
Phone (585) 872-2797

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1619035292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 NORTH AVE",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145803007",
            "telephone_number": "585-872-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NORTH AVE",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145803007",
            "telephone_number": "585-872-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM E ZUGNER, D.D.S., TODD R. PEDERSEN, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "ZUGNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "585-872-2797",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05030328",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02320574",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.