Brett Zacko Gurley, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

0402002258 Issued in VA

Practice address

1712 Clubhouse Rd
Zacko and Assoc
Reston, VA 20190

Phone

(703) 471-6600

Fax

(703) 471-1675

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Patricia Brett Zacko Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699848002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 DARIUS LANE",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201915826",
            "telephone_number": "703-689-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 CLUBHOUSE RD",
            "address_2": "ZACKO AND ASSOC",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "20190",
            "telephone_number": "703-471-6600",
            "fax_number": "703-471-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURLEY",
        "first_name": "BRETT",
        "middle_name": "ZACKO",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "VA",
            "license": "0402002258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "ZACKO",
            "middle_name": "BRETT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristin Amiraian Grohs, MSPT
• Heather S Groves, P.A.
• Susmitha Gudipudi
• Rachel Guetlein, LPC
• Alli Makker Guleria, DMD
• Robert Gurney, M.D.
• Karma Yanjin Gurung, BCBA
• Gwilym Parry MDPC
• Nam Hoang Ha, OPTICIAN
• Philip I Haber, M.S.

• Dental Hygienist in Reston, VA
• Providers in Reston, VA by specialty
• Dental Hygienist in Virginia

• 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.