Active NPI
Peter Maged Zakhary, D.D.S.
- General Practice Dentistry
- San Antonio, TX
National Provider Identifier
1730312836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 58487
- Practice address
- 210 S Zarzamora St
San Antonio, TX 78207-4145 - Phone
- (210) 236-9220
- Fax
- (210) 257-0399
- NPI assigned
- Aug 24, 2009
- Last updated
- Jun 12, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 58487 | CA | Primary |
| Dentist | 122300000X | 27221 | TX |
Addresses
Primary practice location
210 S Zarzamora St
San Antonio, TX 78207-4145
Mailing address
210 S Zarzamora St
San Antonio, TX 78207-4145
Phone (210) 236-9220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 281652207 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27221 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| P.M. Zakhary DDS, Anaheim | Dentist | Current | Accepting new patients |
| P.M. Zakhary DDS, BPDC | Dentist | Current | Accepting new patients |
| Smile Kings Dental & Orthodontics, PLLC | Dentist | Past | Accepting new patients |
| Smile Kings of San Antonio, PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Dentist
- Anaheim, CA
- NPI 1326901760
-
- Dentist
- Buena Park, CA
- NPI 1871456228
-
- Dentist
- San Antonio, TX
- NPI 1245599158
-
dba Smile Kings
- General Practice Dentistry
- San Antonio, TX
- NPI 1689567901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370995200000",
"number": "1730312836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 S ZARZAMORA ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782074145",
"telephone_number": "210-236-9220",
"fax_number": "210-257-0399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 S ZARZAMORA ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782074145",
"telephone_number": "210-236-9220",
"fax_number": "210-257-0399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAKHARY",
"first_name": "PETER",
"middle_name": "MAGED",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-24",
"last_updated": "2013-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "58487",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "27221",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "281652207",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.