Eric J Zidel, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21579 Issued in OH

Practice address

4575 Winchester Pike
Columbus, OH 43232-5605

Phone

(614) 837-2080

NPI assigned

Jun 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: eric.zidel.1@17598.direct.athenahealth.com

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1659573574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 BEXLEY PARK RD",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "432092120",
            "telephone_number": "614-246-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 WINCHESTER PIKE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432325605",
            "telephone_number": "614-837-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIDEL",
        "first_name": "ERIC",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zahra Zia, MD
• Natalie Claire Ziccardi, MA SLP
• Jennifer Stauffer Zid, MSW, LSW
• Zidel Dental Group Inc
• Daniel L Zidel, D.D.S.
• Emice Ziegler
• Ryan Michael Ziegler, LPC
• Angela J Zielinski, PHARM.D.
• Jason Zielinski
• Jeremy Ziemann

• General Practice Dentistry in Columbus, OH
• Providers in Columbus, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.