Jeffrey Louis Zanetti, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901014508 Issued in MI

Practice address

31904 Grand River Ave
Farmington, MI 48336-4126

Phone

(248) 477-1500

Fax

(248) 477-1569

NPI assigned

Mar 5, 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 MI

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

Practice roles

Locations

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.

• Jeffrey L. Zanetti DDS PC

  • Dental Clinic/Center
  • Farmington, MI
  • NPI 1063124790
  NPD Authorized official
• Omc Dental, PLLC

  • General Practice Dentistry
  • Farmington, MI
  • NPI 1043154677
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699804971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31904 GRAND RIVER AVE",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483364126",
            "telephone_number": "248-477-1500",
            "fax_number": "248-477-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31904 GRAND RIVER AVE",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483364126",
            "telephone_number": "248-477-1500",
            "fax_number": "248-477-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANETTI",
        "first_name": "JEFFREY",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901014508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Merrill Wood, PH.D.
• Woodward Detroit CVS, L.L.C.
• Mariann Judee Young
• Martha Youngs
• Mohammed Idris Zahoor, MD
• Zoma Dental Farmington PLLC
• Dorothy Zynda-Snyder, LMSW

• General Practice Dentistry in Farmington, MI
• Providers in Farmington, MI by specialty
• General Practice Dentistry in Michigan

• 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.
• 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.