Individual provider Active NPI

Steven Dale Zaloudek, DDS

  • General Practice Dentistry
  • Redfield, SD
National Provider Identifier
1679650071
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
M530 Issued in SD
Practice address
21 1/2 East 7TH Avenue
Redfield, SD 57469-1205
Phone
(605) 472-2702
NPI assigned
Nov 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 M530 SD Primary

Addresses

Primary practice location

21 1/2 East 7TH Avenue
Redfield, SD 57469-1205

Mailing address

21 1/2 East 7TH Avenue
Redfield, SD 57469-1205
Phone (605) 472-2702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20160303002525 SD Order and Referring Only - DentistPractitioner - Dentist 6608172416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M530SDMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679650071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 1/2 EAST 7TH AVENUE",
            "city": "REDFIELD",
            "state": "SD",
            "postal_code": "574691205",
            "telephone_number": "605-472-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 1/2 EAST 7TH AVENUE",
            "city": "REDFIELD",
            "state": "SD",
            "postal_code": "574691205",
            "telephone_number": "605-472-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALOUDEK",
        "first_name": "STEVEN",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redfield, SD

Sources for this page

Verify at the official NPI Registry.