Zeina Estephan

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401417109 Issued in VA

Practice address

10 Chatham Heights Rd
Fredericksburg, VA 22405-2566

Phone

(540) 785-4494

Fax

(540) 785-2216

NPI assigned

Jan 18, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Springfield Orthodontic Associates, PLLC

  • Preferred Provider Organization
  • Springfield, VA
  • NPI 1316162456
  NPD (past)

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1750970364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 BROADLEAF DR NE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221803535",
            "telephone_number": "703-559-5220",
            "fax_number": "540-785-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CHATHAM HEIGHTS RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052566",
            "telephone_number": "540-785-4494",
            "fax_number": "540-785-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEPHAN",
        "first_name": "ZEINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401417109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Espiridion
• Kristin Laura Esposito, DO
• Leroy J Essig, MD
• Mohammed Estaitia, BDS, MS
• Kristisa Robinson Estep, CRNA
• Julia Katherine Estes, PA
• Vanessa Estrada, ND, LMT, CNA
• Zachary Estrada, RBT
• Alexis Eubank
• Laura Eubanks

• Pediatric Dentistry in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.