Individual provider Active NPI

Daniel Paul Zick, D.D.S.

  • General Practice Dentistry
  • Lansing, MI
National Provider Identifier
1629281274
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901014170 Issued in MI
Practice address
2410 Lake Lansing Rd
Lansing, MI 48912-3659
Phone
(517) 484-4455
Fax
(517) 484-4457
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 2901014170 MI Primary

Addresses

Primary practice location

2410 Lake Lansing Rd
Lansing, MI 48912-3659

Mailing address

2522 Burcham Dr
East Lansing, MI 48823-7238
Phone (517) 332-5409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20170112002634 MI Order and Referring Only - DentistPractitioner - Dentist 6103108832

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629281274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 BURCHAM DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237238",
            "telephone_number": "517-332-5409",
            "fax_number": "517-484-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 LAKE LANSING RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123659",
            "telephone_number": "517-484-4455",
            "fax_number": "517-484-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZICK",
        "first_name": "DANIEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901014170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.