Individual provider Active NPI

Zacharias J Kalarickal

  • General Practice Dentistry
  • Wesley Chapel, FL
National Provider Identifier
1689897340
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15186 Issued in FL
Practice address
28965 State Road 54
Wesley Chapel, FL 33543-4219
Phone
(813) 991-5100
Fax
(813) 973-1727
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
Yes

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 DN15186 FL Primary

Addresses

Primary practice location

28965 State Road 54
Wesley Chapel, FL 33543-4219

Mailing address

2400 Amberside Way
Wesley Chapel, FL 33543-8716
Phone (813) 991-5100

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

State licenses

LicenseStateTypeSpecialty
DN15186FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Zacharias J Kalarickal D D S P a Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689897340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 AMBERSIDE WAY",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335438716",
            "telephone_number": "813-991-5100",
            "fax_number": "813-973-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28965 STATE ROAD 54",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335434219",
            "telephone_number": "813-991-5100",
            "fax_number": "813-973-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALARICKAL",
        "first_name": "ZACHARIAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.