Individual provider Active NPI

Hala Zeeshan, DMD

  • Dentist
  • Levittown, PA
National Provider Identifier
1619288826
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS038307 Issued in PA
Practice address
63 Patricia LN
Levittown, PA 19057-3831
Phone
(215) 609-4497
NPI assigned
Jun 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS038307 PA Primary

Addresses

Primary practice location

63 Patricia LN
Levittown, PA 19057-3831

Mailing address

63 Patricia LN
Levittown, PA 19057-3831
Phone (215) 609-4497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20160212001020 PA Order and Referring Only - DentistPractitioner - Dentist 1557665494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS038307PAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1619288826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 PATRICIA LN",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190573831",
            "telephone_number": "215-609-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 PATRICIA LN",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190573831",
            "telephone_number": "215-609-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEESHAN",
        "first_name": "HALA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

Verify at the official NPI Registry.