Individual provider Active NPI

Terry Gene Zucuskie, D.D.S.

  • General Practice Dentistry
  • Sun City, AZ
National Provider Identifier
1750373734
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4449 Issued in AZ
Practice address
13000 N 103Rd Ave
Suite 62
Sun City, AZ 85351-3024
Phone
(623) 974-4888
Fax
(623) 974-4889
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4449 AZ Primary

Addresses

Primary practice location

13000 N 103Rd Ave
Suite 62
Sun City, AZ 85351-3024

Mailing address

13000 N 103Rd Ave
Suite 62
Sun City, AZ 85351-3024
Phone (623) 974-4888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Aug 3, 2014 through Aug 3, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4449AZMDNuclear Cardiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1750373734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 N 103RD AVE",
            "address_2": "SUITE 62",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513024",
            "telephone_number": "623-974-4888",
            "fax_number": "623-974-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 N 103RD AVE",
            "address_2": "SUITE 62",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513024",
            "telephone_number": "623-974-4888",
            "fax_number": "623-974-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCUSKIE",
        "first_name": "TERRY",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.