Active NPI
Zachary D Ebner, CPED
- Durable Medical Equipment & Medical Supplies
- Kenosha, WI
National Provider Identifier
1649517731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 5027 Green Bay Rd Ste 124
Kenosha, WI 53144-1771 - Phone
- (262) 654-4300
- Fax
- (262) 654-4305
- NPI assigned
- Jan 9, 2013
- Last updated
- Feb 7, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
5027 Green Bay Rd Ste 124
Kenosha, WI 53144-1771
Mailing address
4523 Harding Rd
Kenosha, WI 53142-3154
Phone (262) 484-7677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CPED3822 | Other | WI | ABC CERTIFICATION |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1649517731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4523 HARDING RD",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531423154",
"telephone_number": "262-484-7677",
"fax_number": "262-654-4305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5027 GREEN BAY RD STE 124",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531441771",
"telephone_number": "262-654-4300",
"fax_number": "262-654-4305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBNER",
"first_name": "ZACHARY",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "CPED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-09",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABC CERTIFICATION",
"identifier": "CPED3822",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kenosha, WI
- E Bruns Foot and Ankle SC
- E John Eldridge MD SC
- Ear Nose and Throat Family Clinic of Wisconsin SC
- Easter Seals Southeast Wisconsin
- Jamie Ann Easton, AAS HEALTH WELLNESS
- Heidi E Eckelberg, APNP
- Ariel Nadaene Eckert, RN
- Ecrk Specialized Treatment Center, LLC
- Patricia A. Eder, SA-C
- Edward T Stevens MD SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.