Marcia S Zax, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

039547 Issued in NY

Practice address

1301 Trumansburg Rd
Suite S
Ithaca, NY 14850-1397

Phone

(607) 273-5940

Fax

(607) 273-4625

NPI assigned

Aug 22, 2006

Sex

Female

Sole proprietor

Yes

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 NY

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

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750497764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 KLINE RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148502303",
            "telephone_number": "607-257-2687",
            "fax_number": "607-273-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 TRUMANSBURG RD",
            "address_2": "SUITE S",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501397",
            "telephone_number": "607-273-5940",
            "fax_number": "607-273-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAX",
        "first_name": "MARCIA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sohrab Zand, MB, BCH, BOA
• Joseph Peter Zanfordino, MA CCC/SP
• Douglas Michael Zang, MD
• Katherine Heiss Zang, MD
• Ellen Zaslaw, PH.D.
• Samantha Christy Zeitz
• Meredith Breann Zembiec, M.S. PA-C
• Fanrui Zeng, DDS
• Azka Shahid Zergham, MD
• Xinmin Zhao, ACUPUNCTURIST

• General Practice Dentistry in Ithaca, NY
• Providers in Ithaca, NY by specialty
• General Practice Dentistry in New York

• 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.