Individual provider Active NPI

Siraj Zabadi

  • Periodontics
  • Columbus, OH
National Provider Identifier
1699511006
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
004810 Issued in OH
Practice address
1578 Neil Ave BLDG Room265
Columbus, OH 43210-2321
Phone
(614) 206-0298
NPI assigned
Jul 4, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 004810 OH Primary

Addresses

Primary practice location

1578 Neil Ave BLDG Room265
Columbus, OH 43210-2321

Mailing address

1578 Neil Ave BLDG Room265
Columbus, OH 43210-2321
Phone (614) 206-0298

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
004810OHMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1720051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1699511006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1578 NEIL AVE BLDG ROOM265",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432102321",
            "telephone_number": "614-206-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1578 NEIL AVE BLDG ROOM265",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432102321",
            "telephone_number": "614-206-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABADI",
        "first_name": "SIRAJ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-04",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "004810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2024; 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.