Active NPI
Darryl Simeon Zeleniak, D.M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Augusta, ME
National Provider Identifier
1760787501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 3233
- Practice address
- 132 State St
Augusta, ME 04330-5615 - Phone
- (207) 626-3550
- Fax
- (207) 626-3550
- NPI assigned
- Jan 25, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 3233 | ME | Primary |
Addresses
Primary practice location
132 State St
Augusta, ME 04330-5615
Mailing address
132 State St
Augusta, ME 04330-5615
Phone (207) 626-3550
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 |
|---|---|---|---|
| 3233 | ME | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295913600000",
"number": "1760787501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 STATE ST",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043305615",
"telephone_number": "207-626-3550",
"fax_number": "207-626-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 STATE ST",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043305615",
"telephone_number": "207-626-3550",
"fax_number": "207-626-3550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELENIAK",
"first_name": "DARRYL",
"middle_name": "SIMEON",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-25",
"last_updated": "2011-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "ME",
"license": "3233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.