Individual provider Active NPI

Peter Aaron Zubella, D.D.S.

  • Dentist
  • Appleton, WI
National Provider Identifier
1700275781
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1001034-15 Issued in WI
Practice address
2101 E Calumet St
Appleton, WI 54915-4743
Phone
(920) 731-1550
NPI assigned
Jan 14, 2015
Last updated
Jan 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1001034-15 WI Primary

Addresses

Primary practice location

2101 E Calumet St
Appleton, WI 54915-4743

Mailing address

2101 E Calumet St
Appleton, WI 54915-4743
Phone (920) 731-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20150608000162 WI Order and Referring Only - DentistPractitioner - Dentist 1658692371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1001034-15WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Curless Dental, LLC Past Accepting new patients
Philip K. Hornseth, D.D.S., S.C. Dentist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1700275781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 E CALUMET ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549154743",
            "telephone_number": "920-731-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 E CALUMET ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549154743",
            "telephone_number": "920-731-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBELLA",
        "first_name": "PETER",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001034-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.